Guidance Session Questions

If you need help now

If you are having thoughts of harming yourself or ending your life, please do not wait for our session. Contact your own GP or call NHS 111. In an emergency call 999, or call Samaritans free on 116 123 at any time.

What happens next

Once you have sent your answers, you can choose a time for your session. If you need to change anything, reply to your confirmation email.

A few questions before we meet

Thank you for booking. Please share only what feels comfortable. This helps me prepare to listen well, and it will only be used for your session.

Name

Where are you based (country and town)?

What would you like to talk about? A few lines is plenty.

What would you most like to leave the session with?

Have you spoken to a GP or therapist about this before?

Yes

Prefer not to say

Is there anything that would help you feel comfortable? For example, a preference for a female therapist, a language, or online or in person.

Are you having thoughts of harming yourself or ending your life? If you are, please do not wait for our session. The numbers at the end of this form can help straight away.

Yes

I would rather talk about it in the session

I understand this is a single guidance session, not therapy or medical advice, and I agree to the cancellation policy.

I agree to Dr Zakia keeping what I share here for the purpose of this session.

If you need help now

What happens next

A few questions before we meet

Join Our Free Trial