Assessment Form For AFOS- Group Consultation

Assessment Form – Group Consultation

To be completed by the participant without influence. Please complete the information on this form. Completing this form accurately helps 360 Psyche assess the situation effectively so we can provide the best service. It may seem long, but most of the questions require only a check, so it will go quickly. If you have any questions, please send us a WhatsApp message on 08096642604 or send an email to and we would respond ASAP.

Current Symptoms Checklist (Please check all that applies to you)
Have you struggled with any of these in the past (check all that applies)
Would you like us to send you follow-up emails? (We don’t spam)
Follow-up emails help check in on your general well-being and provide proven psychological tips for the traumatic experience, stress management, relationships, etc. for a healthy work-life balance and well-being
Would you like us to place follow-up calls? (We don’t spam)
Follow-up calls give you an avenue to express yourself to a trained phone helpline. We’ll notify you via email before placing a call.
Would like to have one-on-one sessions (individual)