Message to Student Counsellor

English Name English Name * First Last
HKSYU Student ID *
Programme of Study *
Year of Study *
Phone *
Email *
Have you used OSA counselling service before? *

Have you used OSA counselling service before? Yes No
How did you hear about OSA counselling service?

How did you hear about OSA counselling service? Poster/Leaflet OSA Website Email Friend Family member Teacher Non-teaching Staff
Message to Student Counsellor:
Suggest dates for the first meeting

Our individual counselling service is free for current HKSYU students. All information and content of the conversations will be kept confidential.

Suggest two available dates below and we will contact you for a meeting via email.
Preferred Meeting Date (1st choice) Preferred Meeting Date (1st choice) / DD / MM YYYY
Preferred Meeting Date (2nd choice) Preferred Meeting Date (2nd choice) / DD / MM YYYY