Student Counseling Discovery Call Form
Please fill out this form to help us prepare for your counseling discovery call.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Academic Level
*
Please Select
High School
Undergraduate
Graduate
Other
What is your primary reason for seeking counseling?
*
Academic Support
Career Guidance
Personal Development
Stress/Anxiety
Other
Please describe any specific concerns or challenges you are facing.
*
What do you hope to achieve from this counseling session?
*
Preferred Date and Time for Discovery Call
*
How did you hear about our counseling services?
School/University Website
Friend/Peer
Social Media
Counselor/Advisor
Other
Are there any topics you would like to discuss during the call? (Select all that apply)
Time Management
Study Skills
Career Planning
Personal Well-being
Other
Is there anything else you would like us to know before the call?
Book Discovery Call
Should be Empty: