Skip to main content

Talking therapy screening questionnaire

Talking Therapy Screening Questionnaire

Section

Which branch of Grafton Medical Partners are you registered with?

Availability

Please choose all times that you are available to attend counselling. Appointments are 50 minutes.

Monday
Tuesday
Wednesday
Thursday
Friday

Additional information

Do you understand what talking therapy involves?
Are you seeking support for difficulties that may be helped through talking therapy?
Are you willing and able to commit to 6–12 weekly counselling sessions?
Do you feel able to engage in counselling and discuss your thoughts and feelings?
Have you previously received counselling or psychological therapy?
Have you ever been diagnosed with a mental health condition?
Have you previously been under the care of Psychiatry, a Community Mental Health Team (CMHT), or another specialist mental health service?

Please note that if you do not attend your counselling appointment or contact the surgery to cancel and re-book your appointment, you will be discharged from the service.