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[contact-form][contact-field label=”Yes, culturally sensitive counselling and talking therapy should be offered if asked for on the NHS.” type=”checkbox” required=”1″ /][contact-field label=”I have had an NHS Counsellor and was satisfied with the service I received” type=”select” options=”Yes,No,Never used this service” required=”1″ /][contact-field label=”I have received support from IAPT and was satisfied with the service I received” type=”select” options=”Yes,No,Never used this service” required=”1″ /][contact-field label=”Gender” type=”select” options=”Male,Female,Other” required=”1″ /][contact-field label=”Age” type=”text” required=”1″ /][contact-field label=”Ethnicity” type=”text” required=”1″ /][contact-field label=”I am happy to share my experience with others if it will help. My contact details are:” type=”text” /][contact-field label=”I am interested in Multicultural Counselling and/or the emotional support groups. Please keep me informed” type=”select” options=”Yes,No” /][contact-field label=”Email me at…” type=”email” /][/contact-form]

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