Application

🕊️ Individual online consultation - available in Hungarian only.

Fill out the questionnaire, then I will personally contact you and arrange a time for a meeting. The conversation will take place online via video call. I will handle your responses confidentially.

1. About you

Name (or how I can call you *) *

Age (not mandatory)

Your email *

Phone number (optional)

How can I get in touch with you?
By emailBy phoneMessage (SMS / Messenger / WhatsApp)

2. What brought you here?

In what area would you like support? (multiple options are possible) *
Processing of a break-up or divorceSeparation from someoneI am faced with a decision (to stay or to leave?)I would like to understand my patterns of relationships and my functioning.I would like to get to know myself betterOther

What is the most important thing that is currently worrying you? Write down your situation in a few sentences. *

3. Your relationship

Your current relationship situation
ChooseI live in connectionI am marriedWe recently broke up / got divorcedA breakup or divorce is underwayI am singleUncertain, both with and without youI don't want to give it away

How long has this situation been going on?
[select first_as_label "Choose" Less than 1 month ago" "1–6 months ago" "6–12 months ago" "More than 1 year ago"]

Do you notice any recurring patterns in your relationships? If so, which ones?

4. How are you now?

How serious is this situation right now? (1 = a little, 10 = very)
12345678910

What is the most difficult thing for you lately?

Who or what is now providing support in your life?

Have you already received help on this topic before?
No, this is the first timeYes, previously (e.g., coach, psychologist)Yes, I am currently dating someone

5. Goals and expectations

What would you like to achieve through working together? *

How would you know that the conversation helped?

Is there anything else you think is important that I should know about you?

6th Appointment

We will arrange the time personally after filling out the form – just let us know what would be good for you here.

Which times are suitable? (multiple options are possible)
Weekday morningWeekday afternoonWeekdays eveningOn the weekend

The consultation will take place exclusively online via video call, Thus, you can join from anywhere from a calm, undisturbed place.

Which video calling app do you use most often? (optional)

How did you hear about me?

7. Important information

The consultation is a supportive conversation based on my own lived experiences – It does not replace psychotherapy or medical care. If it's really hard right now and you feel like you're hurting yourself, please don't wait: call the 116-123 a free mental first aid line, or in an emergency the 112-t.

I acknowledge that the consultation is not psychotherapy and is not medical treatment. *

I consent to the use of my provided data for the purpose of processing my application and for contacting me. *