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Please tell us a little about yourself, this will help us match you with your therapist​

 

All our sessions take place via secure video or phone. We understand that some people are unsure about online therapy, but research shows it’s just as effective as face-to-face support – and many clients find it more flexible and comfortable.

If you’re open to trying online therapy, we’d love to help you get started. You're welcome to book a free brief chat with one of our therapists first, so you can see how it feels.

 

If you haven't taken a look at our therapist page, you can see our therapist profiles here and then come back and complete the form below.

What gender do you each identify as?
How do you each identify?
What age are you?
Have either of you had therapy before (either as individuals or as a couple)?
What's troubling you most at the moment? Tick all that apply.
What times would suit you best for therapy? Please select all that apply.
Dependent on their availability, do you have a preference for which therapist you'd like to work with? Tick all that apply.
Please tell us how you found us.
Counselling Directory
Google
Psychology Today
VIVA Facebook page
VIVA Instagram page
Anne Lewis Facebook page
GP Referral/Noticeboard
Poster in a coffee shop
Friend or family member recommended
Other
© 2026 VIVA Counselling & Psychotherapy | Privacy Policy | Terms | Site by Anne Lewis
VIVA Counselling & Psychotherapy is a trading name of Anne Lewis Therapy.
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