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Optional · after your intake

A head start for your first session.

This is not a test, a diagnosis, or a therapy session. It's a set of questions counsellors usually ask in a first meeting, answered ahead of time at your own pace, so your first hour together goes deeper. Your counsellor still does their own full assessment with you in person; this just means they don't start from zero.

Every question is optional. Skip anything.

Sealed before it leaves your device. Your answers are encrypted in your browser before they're sent. They're stored scrambled, with the key kept separately, and are unlocked only to hand to the counsellor we match you with, through a link that expires after 2 hours. Our lead list never contains your answers in readable form.

So we can connect this to your intake.

However it comes out is fine. How long has it felt this way?

e.g. ceremony matters to me, I'm reconnecting with my culture, I'd rather keep culture out of sessions. Anything.

Medications, conditions, past diagnoses. Only if you want to share.

Your counsellor needs to know where you're starting from. Answering honestly here helps them help you.

Please don't carry this alone while you wait for a match. This form isn't monitored in real time. No one sees it tonight. If you're in danger, call 911. To talk to someone right now, free and confidential: Hope for Wellness 1-855-242-3310 or call/text 988. You can still send this form. Your counsellor will read it.

Encrypted on this device before sending.

Sealed and sent.

Your answers left this device encrypted. When we match you with a counsellor, they'll receive them through a link that expires after 2 hours, and your first session will already have a running start.

One more time-saver if you have NIHB coverage: you can pre-fill your NIHB counselling form now. It stays on your device until you hand it to your counsellor.

Pre-fill my NIHB form Back to home