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Welcome to QHRS

Your Kids personalised Counselors & Therapists

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Please fill out this short questionnaire to provide some general and anonymous background information about you and your child. This will help us match you with the most suitable therapist for you and help your therapist get to know you.

I am Looking for a therapy / counseling for my

Son Daughter Myself - Parent

How are you related to your child?

I am the mother

I am the father

I am the legal guardian

How old is your child?

Over the past few weeks, have you observed that your child had thoughts about suicide?

Never

Over a year ago

Over 3 Months ago

Over a month ago

Over 2 weeks ago

In the last 2 weeks

What is your observation of these thoughts?

A general thought or feeling

Something he/she has made specific plans for

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I accept Terms & Condition
As a Parent / Legal Guardian, I give my consent for counseling / therapy for my child in QHRS

Must contain at least 6 or more characters