Pre-Registration Form | Family Assist

QUESTION 2

(a) In the past few days, did you have thoughts of self-harm, suicide, or plans to harm others? Please rate accordingly on a scale of 0 to 5:

Please rate by selecting a number below.

|
0

|
1

|
2

|
3

|
4

|
5

No thoughts of self-harm/suicide/plans to harm others

High likelihood of self-harm/suicide plans to harm others

(b) Have you or your child experienced violence or abuse recently?

Yes

No

We understand you may need urgent help. While we're not a crisis service, immediate support is available if you or someone you know is at risk and requires urgent assistance. Please reach out to the following agencies, which operate 24 hours daily:

For emergency assistance or medical services (e.g. imminent danger to your/the victim’s life and safety):

Police at 999 or SMS 71999 for immediate assistance

Emergency Medical Services at 995

For suicidal thoughts or self-hurt and mental health crises:

National Mindline 1771 at 1771 or WhatsApp 6669 1771

Samaritans of Singapore (SOS) at 1767 or WhatsApp SOS CareText 9151 1767

For concerns of violence committed against you or someone, or child/adult protection issues:

National Anti-Violence and Sexual Harassment Helpline (NAVH) at 1800 777 0000

However, if you would still like to speak with our counsellor, please click "Next".

Airtime charges apply for mobile calls to 1800 service lines.

QUESTION 3

Which is the main issue you would like to seek help for?

Pre-Marital

Marital

Pre-divorce

Divorce

Parenting

Family

Ageing and Elder Caregiving

Others

QUESTION 4

(a) Which of the following applies to you?

I am a Singapore Citizen

I am a Singapore Permanent Resident

I am a non-resident with a Singaporean parent / spouse / child

None of the above

(b) Are you 18 years old and above?

Yes

No

We regret to inform you that this service is currently only available for Singaporeans, PRs, and non-residents with a Singaporean parent, spouse or child, who are 18 years old and above. You may consider reaching out to the following agencies:

Care Corner Counselling Centre
Mandarin Counselling Hotline: 1800 353 5800 (Mon - Sun, excluding Public Holidays: 10am - 10pm)

AWARE (For women above 21 years old)
Tel: 1800 777 5555 (Mon - Fri: 10am - 6pm)

Singapore Association For Mental Health (SAMH) Insights Centre
Tel: 1800 283 7019 (Mon - Fri, excluding Public Holidays: 9am - 6pm)

However, if you would still like to speak with our counsellor, please click "Next".

Counselling services provided may be subjected to applicable charges. Please contact the agencies for details.
Airtime charges apply for mobile calls to 1800 service lines.

We regret to inform you that this service is currently only available for Singaporeans, PRs, and non-residents with a Singaporean parent, spouse or child, who are 18 years old and above. You may consider reaching out to the following agencies:

Care Corner Counselling Centre
Mandarin Counselling Hotline: 1800 353 5800 (Mon - Sun, excluding Public Holidays: 10am - 10pm)

AWARE (For women above 21 years old)
Tel: 1800 777 5555 (Mon - Fri: 10am - 6pm)

Singapore Association For Mental Health (SAMH) Insights Centre
Tel: 1800 283 7019 (Mon - Fri, excluding Public Holidays: 9am - 6pm)

If you are under 18 years old, we recommend reaching out to the following agencies for assistance:

Fei Yue Community Service: eCounselling Centre (eC2) (For youths between 12 and 25 years old)
Mon, Thu & Fri (excluding Public Holidays): 10am - 12pm, 2pm - 5pm

Tinkle Friend (For children under 13 years old)
Tel: 1800 2744 788 (Mon - Fri, closed on Sat, Sun and Public Holidays: 2:30pm - 5pm)
Online chat: Click on "Chat with us" on their website (Mon - Thu: 2:30pm - 7pm, Fri: 2:30pm - 5pm, closed on Sat, Sun and Public Holidays)

However, if you would still like to speak with our counsellor, please click "Next".

Counselling services provided may be subjected to applicable charges. Please contact the agencies for details.
Airtime charges apply for mobile calls to 1800 service lines.

We regret to inform you that this service is currently only available for Singaporeans, PRs, and non-residents with a Singaporean parent, spouse or child, who are 18 years old and above. You may consider reaching out to the following agencies:

Fei Yue Community Service: eCounselling Centre (eC2) (For youths between 12 and 25 years old)
Mon, Thu & Fri (excluding Public Holidays): 10am - 12pm, 2pm - 5pm

Tinkle Friend (For children under 13 years old)
Tel: 1800 2744 788 (Mon - Fri, closed on Sat, Sun and Public Holidays: 2:30pm - 5pm)
Online chat: Click on "Chat with us" on their website (Mon - Thu: 2:30pm - 7pm, Fri: 2:30pm - 5pm, closed on Sat, Sun and Public Holidays)

However, if you would still like to speak with our counsellor, please click "Next".

Airtime charges apply for mobile calls to 1800 service lines.

QUESTION 5

Are you currently receiving other counselling service(s)?

Yes

No

QUESTION 6

How would you like to communicate with the counsellor?

Live Chat

Audio Call

Email

Please proceed to "Register an account " and initiate a live chat.
You must complete your account registration to avoid losing your form responses.

Operating hours for live chat and audio call:

Mon - Fri: 9am to 6pm

Eve of New Year, Chinese New Year, and Christmas: 9am to 1pm

Not available on Public Holidays.

More information about the service can be found on our Frequently Asked Questions (FAQ) page.

Please proceed to "Register an account " and initiate an email.
You must complete your account registration to avoid losing your form responses

Our counsellors aim to respond to your email within 3 working days.

For more information about the service, please visit our Frequently Asked Questions (FAQ) page.

Please proceed to "Register an account " and initiate a live chat before starting your audio call.
You must complete your account registration to avoid losing your form responses.

Operating hours for live chat and audio call: