EACH partner or family member must fill up this short questionnaire. Based on this, we will inform you if we can take on your case.

NOTE: We cannot proceed with therapy if one party is unwilling to participate. Individuals who are still willing may sign up for individual therapy instead (please click).

Better Steps is an outpatient clinic. We are NOT equipped to attend to emergencies and concerns that need immediate attention (such as high risk to harm yourself or others). Should this be the case, kindly go to the nearest Emergency Room or any of our referrals (please click). 

In submitting a response to this form I agree to my details being used for the purposes of waitlisting for a consultation with a Better Steps Psychology clinician. The information will only be accessed by necessary clinic staff. I understand my data will be held securely and will not be distributed to third parties without my written consent. I have a right to change or access my information. I understand that when this information is no longer required for this purpose, official clinic procedure will be followed to dispose of my data.