The Harassment Counseling Center Online Form
● For all appointments and inquiries, please fill out and send the form below.

*Required
Reason for Contacting the HCC *
Name *
E-mail *
Mobile Phone Number *
Position or Status Associated with UTokyo *
Have you used the Harassment Counseling Center before? *
Preferred Session Medium ※We are currently not conducting in-person, face-to-face meetings. *
【Recommended】Zoom (Unavailable if you wish to remain anonymous)
By Phone
By E-mail
No Preferences, any medium is fine
1st Choice
2nd Choice
3rd Choice
Please briefly describe the nature of your consultation. *
Submit
Never submit passwords through Google Forms.
This form was created inside of 東京大学ECCSクラウドメール. Report Abuse