Counselling Self-Assessment
Questionnaire

This questionnaire is designed to help you decide if coun-selling would be beneficial to you at this time.

Answer the questions with yes, no, or sometimes, as applicable. In general, if you answer yes 5 to 6 times, or sometimes 8 times, you might be going through a difficult time and could benefit from counselling.

After filling in the questionnaire, if you wish to discuss your responses, submit it by clicking on the SUBMIT button at the end. One of our counsellors will get in touch with you to discuss your situation.

Download questionnaire (PDF 2 mb):



You don't have to have a "problem" to benefit from counselling. Many people see a counsellor for personal development in order to learn more about themselves.

If you wish to make an appointment with an ICC counsellor for an intake meeting, then call or e-mail us:

06 2259 0772
(please leave a message in English or in Dutch)
info@icconnections.org


One of our counsellors will be in touch with you as soon as possible, usually within a week.

If you have questions about how we work or about costs and insurance, please refer to our FAQ sheet.