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* Your name
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*Which Location Thomondgate LimerickKillaloe/BallinaOnlineCecil Street, Limerick City (EMDR only)
Partners name(if booking couples session)
Partners email(if booking couples session)
*Please give us an idea of what is generally bringing you to counselling so we can match you to the most suitable counsellor AnxietyDepressionLow moodSleeplessnessAnger IssuesBereavmentSuicidal IdeationRelationship IssuesWork related IssuesTraumaAddictionFood related IssuesSelf HarmCouples CounsellingFamilly CounsellingChildrens CounsellingPlay TherapyEMDR *Are you looking to book this session for yourself? —Please choose an option—YesNo If NO, please tell us who you are booking a session for. *Are you currently engaged with any other services? —Please choose an option—YesNo If YES, please give detail: *Are you a previous client of Resolve Counselling Centre? —Please choose an option—YesNo If yes what was the name of your Counsellor? Would you like to return to this counsellor? —Please choose an option—YesNo Note: If returning to a previous Counsellor, who was a trainee or Pre accredited, their level and hence price may have changed. *Which Type of counsellor would you like to book a session with? Trainee Counsellor(€40 Individual €55 Couples))Intern (Pre-Accredited) Counsellor(€60 Individual, €75 Couples)Senior (Fully-Accredited) Counsellor(€80 Individual, €95 Couples)EMDR Therapist (€150, 90min-2hr sessionPlease see "Counselling Prices" page to see the difference between these options if you are unsure *Which types of Counselling are you interested in? Tick all that apply. Face to FacePhoneOnline Video
*Which days are best for you? Tick all that apply. MondayTuesdayWednesdayThursdayFriday *What time of day is best for you? Tick all that apply. MorningAfternoonEvening
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