Application for FREE emotional support
*Floating Counselling is offering FREE emotional support to all in need especially Africans and Black in UK
Ready to apply? It’s easy! Simply fill out this form and I’ll be in touch.
Email address *
First Name *
Last Name *
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? *
Q3: How did you find out about our support? *
Q4: What's your biggest struggle emotionally now?
Q5: Have you been to counselling before? if so when and what was your experience?
Q6: What appeals to you most about this support? *
Q7: Mobile number (part of our support will be via WhatsApp) *
Q8: We plan to gather recorded feedback via a 30min call at the end of your support package. Do you agree to attend? *
Never submit passwords through Google Forms.
This form was created inside of Floating Counselling. Report Abuse