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Temu Janji Sesi Kaunseling / Counselling Session Appointment
Profil Kaunselor Pelatih / Trainee Counsellor Profile
Hafsa Sakinah Mazlin
Kaunselor Pelatih di UiTM Puncak Perdana / Trainee Counsellor in UiTM Puncak Perdana
Mengambil jurusan Psikologi Kaunseling di Universiti Malaysia Sabah (UMS) / Majoring in Counselling Psychology in University of Malaysia Sabah (UMS)
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* Indicates required question
Nama Penuh / Full Name
*
Your answer
Umur / Age
*
Your answer
Nombor Telefon / Phone Number
*
Your answer
Emel / Email
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Your answer
Kategori / Category
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Pelajar UiTM Puncak Perdana / UiTM Puncak Perdana Student
Staf UiTM Puncak Perdana / UiTM Puncak Perdana Staff
Awam / Public
Pekerjaan / Profession (Jika ada)
Your answer
Jenis Perkhidmatan Kaunseling yang Diingini / Type of Counselling Service Required
*
Sesi Kaunseling Individu / Individual Counselling Session (45-60 min per Sesi/Session)
Sesi Kaunseling Kelompok / Group Counselling Session (4 orang/person per group, 75-90 min per Sesi/Session)
Kaunseling Kerjaya / Career Counselling (45-60 min per Sesi/Session)
Bimbingan atau Konsultasi / Guidance or Consultation
Kaedah Sesi / Counselling Method
Bersemuka / Face-to-face
Atas Talian / Online (eg: Google Meet, Microsoft Teams etc.)
Clear selection
Hari yang Diingini / Preferable Day (Boleh lebih dari satu / May be more than one)
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Isnin / Monday
Selasa / Tuesday
Rabu / Wednesday
Khamis / Thursday
Jumaat / Friday
Lain-lain / Others
Required
Masa yang Diingini / Preferable Time (Boleh lebih dari satu / May be more than one)
*
Pagi / Morning (8am - 1pm)
Petang / Afternoon (2pm - 5pm)
Lain-lain / Others
Required
Bahasa / Language Preference
*
Bahasa Melayu / Malay
Bahasa Inggeris / English
Required
Isu yang Ingin Dibincangkan / Issue to be Discussed
*
Your answer
Adakah anda mengambil sebarang ubat? *Cth: Ubat untuk depresi, ubat darah tinggi, asma dsb / Are you currently taking any medicine? *Eg: Medicine for depression, high blood pressure, asthma etc
*
Ya / Yes
Tidak / No
Pernah mengikuti mana-mana sesi kaunseling sebelum ini? / Have ever joined any session before?
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Ya / Yes
Tidak / No
Tambahan Lain / Any remarks
Your answer
Borang ini bertujuan untuk membuat temu janji, kaunselor pelatih akan menghubungi anda dalam waktu bekerja untuk maklumat lanjut. Boleh hubungi saya pada
https://wa.me/message/TUHTJAZ3XAUZJ1
atau menggunakan emel
hafsakinah@gmail.com
untuk sebarang pertanyaan / This form is for booking purpose, the trainee counsellor shall contact you in working days for appointment confirmation. Feel free to contact me at
https://wa.me/message/TUHTJAZ3XAUZJ1
or via email at
hafsakinah@gmail.com
for further inquiry
*
Ya, saya faham / Yes, I understand
Required
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