Initial Enquiry — Jacob Page Counselling

Initial Enquiry

Thank you for reaching out. This short form helps me understand a little about you before we meet. Everything you share here is confidential.

About You

Optional — useful if you'd prefer a call back
Children, elderly relatives, or anyone who relies on you for care
Particularly relevant for in-person sessions — but also anything that might affect how we work together

What Brings You Here

There's no right way to answer this — whatever feels important to say
Even a rough sense is fine — we'll refine this together

A Little Background

e.g. CBT, counselling, psychotherapy — don't worry if you're not sure
This helps me understand what works for you
e.g. Finished, moved, didn't feel right, cost — whatever applies
I may need this for safety purposes — we can discuss in our first session if you'd prefer

Practicalities

Clicking this will open your email app with your responses ready to send.
Your information goes directly to me — it is not stored or processed by any third party.

Your data is handled in accordance with UK GDPR. It is sent directly from your email to mine and is not stored on this website or processed by any third-party service. See my privacy policy for full details.

Thank you

Your email app should have opened with your enquiry ready to send. Once you've sent it, I'll be in touch within 48 hours to arrange an initial conversation — no commitment, just a chance to see if we're a good fit.

If your email app didn't open, you can copy your enquiry and paste it into an email to

Copied — just paste it into an email to me.