Clinical Supervision – Initial Conversation

Let’s talk about supervision

Choosing a supervisor is an important decision, and an initial conversation gives us an opportunity to explore whether supervision with me might be right for you.

Please complete the form below with a little information about yourself and what you are looking for from supervision. You don’t need to provide detailed information about your clients or clinical work at this stage.

Once I have received your enquiry, I will be in touch to arrange a mutually convenient time for an initial conversation.

There is no obligation to continue following this conversation.

Your Name *

First

Last

Email *

What is your professional role? *

For example: Dance Movement Psychotherapist; Creative Arts Therapist; Counsellor; Psychotherapist; Trainee Therapist; Other

Tell particular Your

Tell me a little about your stage of practice *

For example: trainee year; newly qualified; established practitioner; etc.

What Brings You to Supervision with me? *

What are you looking for from supervision at this stage of your practice? You might wish to tell me about your current practice, what you hope supervision with me might offer, or any particular questions you have about working together.

Are there particular days or times that tend to work best for you?

Please indicate any general preferences for supervision sessions. There is no need to provide specific dates at this stage.

Privacy Notice *

• I consent to my information being used to respond to this enquiry.

The information you provide will be used only to respond to your enquiry and arrange an initial conversation where appropriate. Your information will be handled in accordance with my Privacy Policy. https://shirleybrocklehurst.uk/privacy-policy/

Send Enquiry

Book an initial conversation