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Positive CounselorsOnline Counseling & Psychotherapy

Use this confidential form to let us know your hopes and goals for your work with us, as well as your preferences. Then we’ll follow up personally to discuss your options, help you get matched with the therapist best suited for you, and assist you in scheduling your first 15 minute complementary meeting by phone or video chat.

Address
PO Box 40 Shawnigan Lake, BC Canada V0R2W0
Email Us
positivecounselors@gmail.com

Use this confidential form to let us know your hopes and goals for your work with us, as well as your preferences.

Then we’ll follow up personally to discuss your options, help you get matched with the therapist best suited for you, and assist you in scheduling your first 15 minute complementary meeting by phone or video chat.

Tell Us About Yourself

Which of our services are you most interested in?*
Couples Counseling / Relationship CoachingIndividual Therapy or Life CoachingCRISIS, TRAUMA, PTSDSTRESS, BurnoutGrief, BereavementDEPRESSION, ANXIETY, GRIEFMEDIATION/CONFLICT RESOLUTIONCROSS CULTURAL related TraumaHOLISTIC AND SPIRITUALDivorce / Breakup Recovery CoachingFAMILY CONSTELLATIONS TherapyOther

What are your hopes for this?

Please briefly describe your goals for your work with us.*

What are you looking for in a coach or therapist?

Please Add Your Contact Info

Can we leave you a voice mail at this number?
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What's Your State, Province, country of residence?

What are your language preferences?

We are glad you found us. How did you learn about our practice?
From another client of yours who had a good experience.I was referred by another therapist or coach.I found a blog post on your site that resonated with me.I just Googled the type of service I was looking for and found you!I saw your advice featured on a news site or media outlet.I found you through social media.Other

Positive Counselors is committed to protecting and respecting your privacy, and will only use your info to follow up with you and provide you with information about the services you're requesting from us.
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