CWWC Best Fit Counsellor Form
Welcome! We're so glad you're here. This short form is designed to help us understand what you're looking for and match you with the counsellor who will best support your needs, personality, and preferences.
Your Information
Just so we know who to get back to!
Full Name
*
First Name
Last Name
Phone Number
E-mail
*
example@example.com
Who are you seeking support for?
*
Just me (individual counselling)
Me and my partner (couples counselling)
My child or teen
Other
The Details
Let's find out what you're looking for!
What brings you to counselling?
*
Anxiety
Depression or low mood
Trauma / PTSD
Relationship issues
Family dynamics
Grief or loss
Identity or self-esteem concerns
Life transitions
Stress / burnout
ADHD or neurodivergence
Workplace or academic challenges
Other
What kind of approach or vibe are you drawn to? (choose up to 3)
*
Gentle and nurturing
Honest and direct
Goal-oriented and practical
Creative or expressive (e.g., art, writing, etc.)
Trauma-informed and calming
Warm and conversational
Structured and evidence-based
Spiritual or holistic
Other
Are there specific counsellor characteristics that are important to you?
A BIPOC counsellor
An LGBTQIA2S+ counsellor
A trauma-informed counsellor
A counsellor with experience supporting neurodivergent folks (e.g., ADHD, autism)
A counsellor who is culturally sensitive
A faith-affirming or spiritually-sensitive counsellor
A counsellor who understands chronic illness or disability
Someone with a feminist / anti-oppressive / social justice lens
Someone who understands substance use or recovery
Someone who is body-positive / HAES-informed
Other
What is your gender preference?
*
Female
Male
No preference
Availability:
*
Weekdays - mornings
Weekdays - afternoons
Weekdays - evenings
Weekends
Submit
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