The consent you’ll work under.

Read both documents, then confirm below. This is the same consent you’ll work under — keep a copy for your records.

I agree — all boxes required By placing this order, I confirm that I have read and agree to the Terms of Service and Privacy Policy. I agree that if I request that the services begin during the 14-day cancellation period, and the services are fully performed within that period, I will lose my statutory right to cancel. I understand that these services are not a substitute for medical, psychological, or psychiatric diagnosis or treatment. I confirm that I have read and accept the Privacy Policy on the website.

A few details, so we can confirm your booking.

So we can confirm your booking.

About your relationship.

This helps us understand your relationship, your concerns and your hopes for your sessions. Please answer as fully and honestly as you can. Everything here is confidential.

Do you have children?

Have either of you been married or in a long-term committed relationship before?

Have you attended relationship counselling or couples therapy before?

The main challenges you would like support with (tick any)

Are there recurring conflicts or patterns that appear repeatedly?

When conflict occurs, do you generally… (tick any)

Have either of you participated in… (tick any)

Do either of you currently feel unsafe within the relationship?

Has there been any history of… (tick any that apply)

Are either of you currently experiencing significant mental-health difficulties that may affect participation?

Rate each area as it is today, from 1 (very dissatisfied) through 5 (neutral / mixed) to 10 (very satisfied).

Sign, and we’ll find you a time.

One quick question, then type your name to sign. This records your agreement to the consent and terms.