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A complete guide to holistic counselling
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Navigation Menu
Navigation Menu
Toolkits
Suicide first aid kit
Covid Mental Health Toolkit
Mental Health Services
Ask for Help
Enrol for Support Group
Corporate Mental Health Program India
About Us
Our Family
Blogs
Registration
My account
Programs
Safar
Decoding Menstrual and Mental Health
A complete guide to holistic counselling
Queer Affirmative therapy and support group
Testimonials
Donate
Ask For Help
Mental Health Support Form
Do you often feel the weight of your thoughts crushing your life? 😣 Do you feel your life slipping by and have trouble sharing this burden with friends or family? 😞Perhaps a connection with one of our community members will help you unburden your thoughts! 👫👬👭😊🤗Home of Beautiful Souls is a family aimed at offering a safe space to any individual that thrives on connection. Our members include healers with a desire to uplift others and to share their knowledge to strengthen the community. 💪Our Foundation's mission is to heal the world, one person at a time.
Please enable JavaScript in your browser to complete this form.
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Step
1
of 3
Name
*
First
Last
Email
*
Do you identify yourself as a queer?
*
Yes
No
We have queer affirmative therapists and folks in our NGO. So, the question isn't to judge but rather get a better understanding of where you are coming from
Date of Birth
*
Contact Number
*
Contact Number of your Parent/Guardian
*
Next
What kind of support you are seeking
*
Emotional Support
Counselling/Therapy
Support Group
All of the Above
Does anyone from your family know what you are going through?
*
Yes
No
Kindly choose the preferred age group of your counsellor.
*
20-30
30-40
40-50
Note: Age group doesn't reflect the experience of the therapist.
Would you prefer a male therapist or a female therapist?
*
Male
Female
Prefer Not To Say
If you are seeking Professional Mental health support, what is your budget per session?
*
500-1000
1000-1500
There are many people who can't afford therapy due to low family income but strongly need it. Hence, we have kept the option for the budget. Your budget isn't for the quality of our service. We shall try to help you to the best of our abiliities.
Can You Afford To Pay For Our Professional Mental Health Service?
*
Yes
No
If no, kindly state your reason 🙂
*
If you can, enter NA
Next
Please describe what issues you are facing. So, we can provide you the best help 🙂
*
Do you think of harming yourself or attempting suicide?
*
Yes
No
Have you been diagnosed with any mental illness?
*
Yes
No
Please upload your medical certificate if you have been diagnosed
Click or drag a file to this area to upload.
Are you on any medication?
*
Yes
No
Kindly mention the names of your medicines
*
If you are not taking any medicines, enter NA
How Did You Get To Know About Our Foundation?
*
Consent
*
I agree
In a clinical case, i.e. if the client is suffering from a mental illness, or is diagnosed with one; his/her family will be informed about the same after their consent. The case shall be then transferred to the near hospital or a clinic of the clinical psychologist/psychiatrist. If the client wishes to continue the therapy with the NGO, the same shall be entertained. We also will be in touch even after the case has been transferred to ensure that quality treatment is being provided.
Submit
You can have a look at
our therapists here
.
Kindly check our
Payment Policies here.
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