Online Counseling for Mental Health issues associated with COVID-19 (Contact Information)
From CENTRE FOR PSYCHOLOGICAL ASSESSMENT AND COUNSELLING, DEPARTMENT OF PSYCHOLOGY, ADIKAVI NANNAYA UNIVERSITY, RAJAMAHENDRAVARAM, ANDHRA PRADESH
Email address *
Name *
Your answer
Address *
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Phone number *
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Preferable Language
Counselling For
Age
Your answer
Marital Status
Your answer
Living With
Your answer
Reason for Seeking Counselling
Your answer
Severity of your problem
Very Low
Extreme
Undertaking: I hereby declare that all the information given by me in this application is true and correct to the best of my knowledge. I am agree to seek counseling, I hereby oath to not cause any harm to myself or take any action that would be harmful to my health and well-being during the process of counseling *
Undertaking: I am aware the counseling process is online through verbal-audio medium. I hereby submit that I would not involve in any form of recording of the session or it’s sharing in any form. I will only keep my mic and audio output active during counseling, and turn off the video camera before I enter the online counseling session. *
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