Intake form

You have made your first appointment for an individual session.

Do you want to answer the questionnaire below at least two days before the intake?

The purpose of this questionnaire is to obtain information about you, your complaints and personal background. This information is the start for the intake interview. During the intake we will elaborate on your question, theme or problem and we agree on the follow-up process.

All information you provide is covered by professional secrecy and privacy protection law. Your data will therefore be treated in strict confidence. The website is of course also secured, you can see that through the lock for the website name.

Your information will never be provided to third parties. See also the Privacy statement (only in Dutch).

If you have any questions, please contact me.

See you soon!

Floor Slagter