Assessment Form

Answering these questions will help us match you to the best counsellor for your needs. This will only take a few minutes and all information you provide will be encrypted and stored securely, as part of our privacy policy.

Our session fee is £59, based on one 50 minute online counselling session per week. You can cancel or change therapists at any time.

Assessment Form

Personal Details

Do you currently live in the UK?

How can we help?

What are you currently struggling with?

Select up to 5.
Have you had any previous mental health treatment?

(i.e. past counselling / therapy, or medication).
Have you attempted suicide or experienced any thoughts of harming yourself or others in the last 3 months? 

These details will help us provide the most appropriate support for you. If you are in a life threatening situation please use these resources to get immediate help.
If you need urgent help:

Online counselling is not appropriate if you need urgent help. You should instead contact one of the following:

  • Call 999 in an emergency
  • Call your GP
  • Visit your local A & E department
  • Contact The Samaritans: tel UK 116 123 or email jo@samaritans.org

Mindworx is not an emergency support service. We help people through pre-booked online counselling sessions.

Counsellor preference?

Availability

We will do our best to match you to the right counsellor at your preferred time. The more options you can provide, the more we can focus on matching you with the best counsellor for you.

Please indicate what days and times are best for you

Select as many as appropriate.
online counselling uk

Are you seeking peace of mind in your daily life? – We can help!