Counselling Intake Form

Counselling Intake Form

Welcome to FamilyLife NZ Counselling Services. We are delighted that you have chosen to work with us and excited to begin our journey together.

To better serve you, please fill out the below form as accurately as possible. Thank you.

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MATCHING GIFT Opportunity

We have a matching gift opportunity for every new or increased recurring gift to be matched up to the value of $40,000.

If you set up a recurring gift of $50 per month, we get an additional $600 in matching gift. Or if you give $400 a month, we get $4,800 on top of that!

Help us reach all $40,000 in matching donations so we can continue to bring help and hope to marriages and families, and see our nation thrive.