Counselling Services: Appointment Form

You have the power. I provide the tool.

With over 75 clients supported and 4 years of counseling experience, I’m Tanvi Haria - a Counselling Psychologist with a Master’s in Philosophy, a P.G. Diploma in Guidance and Counseling, and advanced certification in Rational Emotive Behavior Therapy (REBT) from the Albert Ellis Institute, New York.

Through personalized counselling sessions, I help you overcome emotional challenges like anxiety, stress, anger, procrastination, and self-doubt, empowering you to create meaningful, lasting change.

Ready to take the first step? Fill in the form with your details to book your counseling appointment and begin your journey toward emotional well-being.

Sign in to Google to save your progress. Learn more
Full Name *
Contact Number *
Age *
Email Id *
Preferred mode of communication for the session *
Preferred time for the session *
Purpose to seek counseling or therapy (In Brief) *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report