Contact Psychological Counselling

Please note: For security reasons, your information will be transmitted in code.

You can also download the registration form on the right and send by mail to: ZSPB, Alsterterrasse 1, 20354 Hamburg.

* = obligatory information!

Personal information

First name^*

Last name^*

Street and house number^*

Zip code^*

City^*

Date of birth^*

Telephone number^*

Email^*

University

We provide services to students at these universities only.

Program

Semester

Date of registration

Questions

Please answer the questions below. Your answers will help us find the staff member who can invite you at the earliest possible date to a first meeting. All information is handled strictly confidentially.

A. What has motivated you to seek help with the Center for Academic Advising and Psychological Counselling?

B. Since when have you had these problems?

C. What would you like and what do you expect from psychological counselling?

D. Have you already used our services?

E. Are there times at which your studies or job prevent you from meeting with us?

F. How did you find out about our psychological counselling services?
(More than one answer is possible)

Friends/acquaintances/family

Recommended by an instructor/professor

Academic advising office hours

Psychological counselling office hours

SUSE (Seminar offered by the Center for Academic Advising and Psychological Counselling)

Attending physician or therapist

Advising services at another university

Angabe der Hochschule(n)

My own research (e.g. in the Internet)

Other

Erläuterungen zu Sonstiges

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Registration form (pdf)

| Last updated 26 April 2013 by Abt. 2

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