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Hello, welcome to Hiwell!

We are going to ask you a few questions to help us find the right specialist for you.

Please select which language you prefer for therapy.

How old are you?

What kind of support would you like to get?

Please select the option that best describes your emotions from the options below?

How would you rate your sleep pattern?

Are you currently employed?

What is your expectation from psychological support?

How did you hear about Hiwell?

Is there anything else you want your specialist to know? If there is, you can type your message in this section. If not, you can complete the form simply by typing "no."

We do not recommend online support if you have thoughts of suicide, harming yourself or others, or in an emergency. In these cases, you should immediately visit the nearest health institution.

The information you will provide in the form ensures that you will be matched directly to the specialist with the most suitable area of expertise.

Your answers are encrypted and protected within the terms of our confidentiality agreement and are only shared with your specialist.

Required
Required
Required
Required

The information you will provide in the form ensures that you will be matched directly to the specialist with the most suitable area of expertise.

Your answers are encrypted and protected within the terms of our confidentiality agreement and are only shared with your specialist.

We sent a 6 digit code to your email

Required

The information you will provide in the form ensures that you will be matched directly to the specialist with the most suitable area of expertise.

Your answers are encrypted and protected within the terms of our confidentiality agreement and are only shared with your specialist.