Client Intake Form
Thank you for reaching Room, The Mindcare Space. This particular questionnaire should not take more than 20 minutes. It is general information that will help us understand in what capacity can we help you. Please feel free to write at if you have queries.

Once your filled form is analyzed, your assigned therapist will get in touch with you. Tailoring to both of your convenience, the process of therapy shall begin. Meanwhile, you'll receive a small document upon filling the form. Please ensure you've read it thoroughly.
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