About Us
Team
Offer
Pricing
Support Us
Contact
EN
PL
EN
Book an Appointment
Help us connect you with theﾠmostﾠsuitableﾠtherapist
Complete the short form and we'll match you with the specialist who can best meet your needs.
1. Who are you arranging a consultation for?*
Adult
Child
2. What problem/issue do you want to bring to the therapist/coach?*
I am sad
I am afraid of people
I am going through a bereavement
My mood is related to my work / school
I can't find purpose or meaning in life
I am afraid to build meaningful relationships
I have experienced / am experiencing trauma
I feel lonely / alone
I would like / need to build self-confidence
I need support in going through a challenge
I have an oncological illness
I want to support a person close to me
I want to help my child
Problems in relationships
Problems in a relationship
None of the above
3. What are your expectations of a therapist? I am looking for a therapist who...*
Listens
will teach me new skills
will explore my past
will not explore my past
will assign homework
will guide me in achieving my goals
will challenge my beliefs
will conduct therapy based on Christian values
will conduct therapy regardless of religious beliefs
none of the above
4. Do you have any specific requirements for your therapist?*
Female
Male
Older than 45 years old
Has experience working with children
Speaks Ukrainian language
Speaks English
I have no specific requirements
5. Do you want to take advantage of free assistance for people affected by war?*
Yes
No
6. Do you have refugee status?*
Yes
No
7. Leave your contact information
Name*
E-mail*
Phone number*
If you want, please leave a message. If you prefer some form of contact (email or phone) you can also write about it
I consent to the processing of my personal data contained in the form by the Novus Foundation for the purpose of answering my request or signing up for a consultation.
*Required fields
Thank you for reporting!
We will contact you shortly to arrange an appointment.
Something went wrong. The message has not been sent. visible again.
If you already have a selected specialist, you can register directly
Register with the specialist of your choice
or make an appointment by phone
+48 798 864 764
