Please answer the following questions:

Question 1:
At which times would you like to receive psychological counselling? (for example, “always on Friday”, “Wednesday and Thursday after 16:00”, “Monday between 10:00 and 15:00 or Friday after 15:00”)

Question 2:
What is your greatest problem at the moment? You can also name more than one.

We would also be interested in an answer to the following two questions:

Question 3:
What do you wish/hope to gain from the psychological counselling?

Question 4:
Would you like to share something with us in advance?