清華大學諮商中心-"安心防疫"諮商申請表單(NTHU Counseling Center-"Relief Prevention" Consultation Application Form)
最近打開電視,隨處可看嚴重特殊傳染性肺炎(COVID-19)的相關報導,是否使你的內心跟著起伏且騷動不安?而你的身心都還好嗎?原訂行程有受影響嗎?
其實在這樣的氛圍下,難免會引發我們的焦慮恐慌和不安,諮商中心針對在疫情期間受影響而有諮商需求的同學提供短期與支持性的諮商,請填妥以下表單,等待諮商師與您聯繫。

p.s.若有需前來諮商中心,因諮商為小空間長時間接觸,請自備口罩,並配合諮商中心防疫措施

When we turned on the TV recently, we could see reports of COVID-19 everywhere.
Did it make your heart go up and down? How’s your physical and psychological situations? In fact, in such an atmosphere, it will inevitably cause our anxiety and fear.If you are still feeling uneasy and fearful about the epidemic situation, you can fill out the "Relief Prevention" application form.
Our counselors will contact you and provide appropriate short-term and supportive counseling to you according to your needs.

p.s.Due to closed space in counseling room, please always wear a surgical mask. Let’s maintain a safe and secure place together
學號(Student ID) *
Your answer
姓名(Name) *
Your answer
系級(ex:物理系大三) Department *
Your answer
聯繫電話(方便白天聯繫的電話) Phone number (convenient for daytime contact) *
Your answer
e-mail *
Your answer
目前因為疫情而產生的心理狀況(請簡述) Current mental status due to epidemic situation (please briefly describe) *
Your answer
<請按下提交,諮商中心在收到表單後會由諮商師儘快與各位電話聯繫,若三天後未收到任何訊息,請主動來電諮商中心03-5715131#34725> <NTHU Counseling Center will contact you by phone as soon as possible after receiving the form>
在等待聯繫的過程中,您可以先從諮商中心提供的安心文宣來穩定自己的情緒
http://counsel.site.nthu.edu.tw/p/406-1250-173344,r492.php
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