Counseling in Vienna by Richard L. Fellner

Questionnaire for Online Counseling

Your Name:
(no realname required)
Your Email:
(required for replies)
Your question/inquiry:
Please describe your problem and your current living circumstances:
(age? partner? children? city?,..):
Which approaches did you apply trying to solve your problems so far? What turned out helpful, what not?
Optional annotations:
Verification:
(anti-spam)
Verification code
Please enter the displayed verification code
(combination of digits and letters):

[generate new code]
I acknowledge that Online Counseling can't act as a replacement for undergoing a psychotherapy in real life, and that no response can be expected before the counseling fees have been paid. I read and acknowledged the legal information.
 

Please note that this form isn't tap-proof. To support privacy, I accept emails (PGP encryption supported: here's my PGP key). In this case, please don't forget to answer all questions of the above questionnaire in your email.
Click here, if you want to enter & submit this form using an encrypted connection.
You may want to use an anonymized email adress which you can register for free at services like ProtonMail, GMail and many others!