Intake Form

Thanks for getting in touch with me at Christian Counselling Sydney (CCS).

To help me provide the best service I can for you, it would be helpful to know some more about you and your situation.

I have some standard intake questions below to help me get to know you and to help us work out suitable appointment times going forward.

Please feel free to ask any questions that you have. (See the Contact page.)

Thanks, Jeremy
Christian Counsellor

It’s up to you how much you are comfortable to say at this stage and we understand that you may prefer to not say much yet.

Please be assured that the information you share here is used only respond to your request for help and is kept private and confidential. (This website uses an SSL certificate to encrypt data shared between your web browser and the CCS web server.)

Intake Form