YES! I want to come to ThroughBlue:
(All information is kept strictly confidential.)
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Email *
Firstname and Surname: *
Phone: *
Alternative Phone:
Which group would you like to attend? *
Suburb: *
Age Range: *
How did you find us? *
Special Requirements:
Please note both groups have wheelchair access, but let us know if there are any other facilities you require.
Information for our counsellor:
WHY DO WE ASK THESE QUESTIONS?
Everyone has different needs when coming to ThroughBlue.  We ask these questions so that our counsellor can provide tailored support that is right for you personally, so that you feel fully supported and looked after during your first sessions.

The questions in this section below are kept STRICTLY CONFIDENTIAL to the ThroughBlue counsellor only.
Are you able to quickly recognise the early signs of depression? *
On a scale of 1-10 where are you?  (1 is worst, 10 is best).
I don't see depression coming and it catches me out of the blue
I can see depression coming a long way off
When depression starts, do feel you have skills to manage it? *
On a scale of 1-10 where are you?  (1 is worst, 10 is best).
I would like more skills to manage depression
I have enough skills to manage depression
Do you ever feel isolated or lonely? *
On a scale of 1-10 where are you? (1 is worst, 10 is best).
At times I feel Isolated and lonely
I don't feel isolated or lonely at all
In regards to your depression, can you talk about it easily with others? *
On a scale of 1-10 where are you?  (1 is worst, 10 is best).
No, I don't feel comfortable talking about depression
Yes, I can easily talk and share about my depression
We try to customise our workshops to meet group member's needs. What subjects would help you in your personal journey? (You can tick more than one.)
Have you seen a counsellor and are you still going?  
Apart from Depression, what other Mental Health diagnoses do you have? *
Are you currently on any medication for mental health? *
Required
Do you have any history of self-harm? *
What are you hoping to get out of the group?
(You can also add a message and any questions you have here.)
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