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Spiritual Support / Counseling
This form is designed to help us understand your concerns and provide personalized spiritual guidance. Please fill out the details below to connect with us, schedule a session, or receive uplifting resources.
Your responses will remain confidential.
More information can be found here:
www.
jesusking.co/guidance
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* Indicates required question
How would you prefer to receive guidance and counseling?
*
in-person, voice note, text-based chat, email counseling, coming soon...
Book a virtual call with a counselor (video on)
Book a virtual call with a counselor (video off - still keeps video functionality available but turned off, allowing the call to potentially be switched to video at any point)
Book a virtual call with a counselor (audio-only)
Full Name
(optional)
If you'd like to receive counsel anonymously, you are welcome to leave the name field blank
Your answer
Email Address
*
Contact details are needed for the counselor to reach you.
Your answer
Phone Number
*
Contact details are needed for the counselor to reach you
Your answer
What area do you need help with, or what's on your heart?
*
Select an option below or use the 'Other' field to share your preference
Depression and mood disorders
Anxiety and stress-related issues
Relationship problems (romantic, familial, friendships)
Trauma and PTSD
Grief and loss
Addiction and substance abuse
Self-esteem and personal growth
Career counselling and work-related stress
Eating disorders and body image issues
Anger management
Phobias and specific fears
Life transitions (e.g., divorce, retirement, relocation)
Parenting challenges
Sexual and gender identity issues
Chronic illness and pain management
Other:
Required
Please provide more details about the challenge you're facing
*
Your answer
Preferred session time (Select from available slots)
*
Friday (7pm-8pm)
Saturday (8am-9am)
Sunday (5pm-6pm)
Sunday (6pm-7pm)
Other:
Required
How did you hear about us?
*
Please share details 💛
Your answer
Would you like to receive updates and spiritual resources via email?
*
Can unsubscribe at anytime
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No
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