Crisis Cafe Registration Form

    Next, I would like to ask you four questions about your feelings on aspects of your life. There are no right or wrong answers! For each of these questions I'd like you to give an answer on a scale of 0 ("not at all") to 10 ("completely")

    1. Overall, how satisfied are you with your life nowadays? (0-10)

    If this service wasn't open, where would you have gone?

    By ticking the box below, you are agreeing to the terms of service