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Ek Zaroori Guzarish ♥ — Confidential Support Form

Is form mein aap ke jawab ki bunyad par hi hum samajh payenge ke aap kis situation se guzar rahe hain aur kya hum waqai aap ki madad kar sakte hain.
Agar kisi bhi sawal mein jhoot likha gaya ya koi baat chhupai gayi, to ho sakta hai hum aap ki asli problem ko samajh hi na saken. Aisi surat mein hum shayad aap se contact bhi na kar saken.
Is form ke jawab ki wajah se aap ko judge nahi kiya jayega. Yeh sirf aap ki situation ko samajhne ke liye hai. Har information ko puri confidentiality ke sath handle kiya jata hai.
Is liye hum aap se guzarish karte hain ke har sawal ka jawab puri imandari aur sachai ke sath dein. Jitni zyada sachai hogi, utni hi behtar hum aap ki rehnumai aur support kar sakenge.

1 Personal Information

Basic details so we can reach out to you.

First Name *

Last Name *

Date of Birth *

WhatsApp Number *

2 Emotional & Mental Wellbeing

Jawabat puri imandari se dein. Yahan koi judge nahi karega.

Aap apni zindagi mein iss waqt sab se zyada kis cheez se pareshan hain? *

Kya aap ko aksar stress, anxiety ya overthinking mehsoos hoti hai? Agar haan, kis wajah se? *

Aap apne emotions (jazbaat) ko asaani se express kar paati hain ya andar hi rakh leti hain? *

Aap ke liye self-confidence ka matlab kya hai, aur kya aap apne aap ko confident samajhti hain? *

Family, friends ya society ka pressure aap ki zindagi par kis had tak asar daal raha hai? *

Kya aap kisi relationship, breakup, ya trust issue se guzri hain jo abhi tak affect karta hai? *

Aap apni future life (career, marriage, goals) ke baare mein kya sochti hain? *

Kya kabhi aisa laga ke aap ki baat koi nahi samajhta ya aap akeli feel karti hain? *

Jab aap pareshan hoti hain, to apne jazbaat ka izhar ya control kaise karti hain? *

Jab aap emotionally low hoti hain, to aap khud ko kaise handle karti hain? *

Agar aap apni zindagi ki ek cheez change kar sakti hon, to woh kya hogi aur kyun? *

3 Personal History

Kya Apko Kabhi Pyaar huwa hai? *

Kya aap kabhi pregnant hoye hain? *

Kya aap ney kabhi jismani Taluqat Qaim rakhein? *

9 Counselor Assignment

Please mention your area name * We have 50 counselors, each designated to different cities and areas across Pakistan. Apna area ka naam likhein taake hum apko uske mutabiq counselor assign kar saken.

10 Anything Else? *

Kya koi aisi baat jo aapko lagta hai batana zaruri hai? *

100% Confidential — Aap ki information safe hai.