Application for FREE emotional support
*Floating Counselling is offering FREE emotional support to all in need especially Africans and Black in Lambeth, Croydon and Southwark
Ready to apply? It’s easy! Simply fill out this form and we will be in touch.
Email address *
First Name *
Last Name *
Do you have a LINK to any of these three boroughs? (Live, Work, Education, Place of worship) Croydon, Lambeth and Southwark? *
Required
If you do have a LINK please state which borough *
What ward of the Borough do you live in? *
Q1: Which of the following categories that best describes the support you want? *
Q2: Do you have any children? If so would you like to join the parenting monthly training group? *
Required
Q3: How did you find out about our support? *
Q4: What's your biggest struggle emotionally in the last month?
Q5: Have you been to counselling before? if so when and what was your experience?
Q6: What appeals to you most on this support? *
Q7: Mobile number (part of our support will be telephone / WhatsApp counselling) *
Q8: We plan to gather recorded feedback via a 30min call at the end of your support package. Do you agree to attend? *
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