Psychology Suitability Screening Tool

Before you begin

This is a brief screening form to help you check whether this private psychological therapy service is likely to be a good fit for you.

This service is:

for adults aged 18 and over
not a crisis or emergency service

If this service is not appropriate based on your responses, the form will explain this and provide guidance on next steps.

Screening Questions

1. Age boundary

This service is for adults aged 18 or over. Are you aged 18 or over?

2. Crisis boundary

This service is not able to provide urgent or crisis mental health support. Are you currently experiencing a mental health crisis or needing urgent support to stay safe?

3. Risk boundary

Are you currently experiencing thoughts about harming yourself or someone else?

4. Safety & stability

Are you currently able to manage your day-to-day safety and responsibilities without urgent support?

5. Scope of support

Which best describes what you are looking for right now?

6. Current level of care

Are you currently under the care of a mental health team for high-risk concerns (e.g. crisis team, inpatient care)?

7. Therapy expectations

What kind of support are you hoping for?

8. Practical fit

Are you able to engage with therapy in the format offered (e.g. online or in-person as described on the website)?

9. Boundary acknowledgement

I understand that this is a private service with limited capacity and that completing this form does not guarantee an appointment.

10. Final confirmation

I understand that this service is not able to work with people who are currently at risk of harming themselves or others.

Important Safety Information

If you are in immediate danger or feel unable to keep yourself safe, please contact emergency services or your GP.

The following questions are not a full risk assessment. It is used to help decide whether this private service is appropriate at this time.

Please check under the 'Submit' button once pressed for further instructions.