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Looking for Counselor
Looking for Counselor
We provides counseling, psychiatric, consultation, and prevention services that facilitate your academic and life goals and enhance your personal growth and well-being.
Please fill out the following information. Our counselor will contact you upon receiving your request.

Service hours: Monday through Thursday 9am to 9pm / Friday 9am to 5pm.
Our location is at 5th floor Room 5002 of the Administration building.
Tel:(07)525-2000 ext.2280
*Name: *Student ID: *Gender:
*College: *Department: *Grade:
*Mobile Number: *E-mail:
*Emergent Contact Person: *Relationship: Emergent Mobile Number:
Resinence: Purpose:
Counseling   Psychological Tests  
Main ComplaintsMultiple selections accepted:
Family Relationship   Teacher-Student Relationship   Study Problem  
Intimate relationship   Emotional Problem   Interpersonal Relationship  
Self-Understanding   Career Planning   Psychological Problem  
Others  
Have you ever being counseled in school ?:
No  Yes 
Have you ever undertake psychotherapy in the clinical ?:
No  Yes 
Have you ever been to psychistrist or take medicine ?:
No  Yes 
Stress level within two weeks (0=None,10=High):
Please describe your issues in short:
Available time (More than two slots):
Mon. morning   Mon. afternoon   Mon. evening   Tue. morning   Tue. afternoon   Tue. evening  
Wed. morning   Wed. afternoon   Wed. evening   Thu. morning   Thu. afternoon   Thu. evening  
Fri. morning   Fri. afternoon  
*
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Appendix:
It takes 50 mins per session, if you are unable to come for counseling, please give us a call in advance.