Pre-Assessment Questionnaire

We ask all our clients to fill the following questionnaire at least 3 working days ahead of their first therapy session.

The answers provided are key to help us understand your pathway into therapy and identify the therapist best suited to support you in achieving your therapy goals.

You may either fill the questionnaire online or print and send/deliver it to us prior to your first appointment.

Please note that all information provided to Relate Kenya is covered by our confidentiality policy.

 

Personal Information

Contact Information

Your Therapy Interest

Medical/ Physical History

Last modified on Monday, 02 December 2013 11:50

Opening Hours

OFFICE HOURS
Monday - Friday:

8:00 - 4:00

PRE-ASSESSMENTS
Monday:

8:00 - 4:00
Thursday:
8:00 - 12:00

FOLLOW ON SESSIONS
Tuesdays & Wednesday:
8:00 - 4:00
Wednesday:
6:00 - 7:00 pm

'LISTENING EAR'
Monday - Thursday:
8:00 - 4:00

Contact Us

P.O. BOX 227 – 00502 Karen
Nairobi/ Kenya
(0)708 815373, (0)737 869978
info@RELATE-KENYA.COM