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If your ability to study and your academic progress at University is affected by psychological or emotional difficulties, you may need some support to get back on track.  The Student Mental Wellbeing Services provide wellbeing appointments designed to develop your coping skills and help you achieve your potential during your studies.  After meeting with a practitioner, a range of resources may be suggested.  This includes self-help resources, workshops, counselling and focused work with a qualified practitioner.

Completing this online questionnaire is your first step in the process of self-referral to the Student Mental Wellbeing Service, and it is also a way of exploring your current concerns in preparation for an appointment with our service. Once submitted, your completed documentation will be processed by our team.

The Student Mental Wellbeing Service provides a safe, supportive and welcoming environment where equality and diversity is fostered and where everyone is treated with dignity and respect.

A student who has a mental health condition that has lasted, or is likely to last, for a long period could be covered by the Equality Act 2010 as a disabled person.

Long term is usually defined as 12 months and if medication has a positive effect, or if the condition is fluctuating or reoccurring, this could still be covered.  In these cases students may be eligible for support from the Disabled Students' Allowances and reasonable adjustments from the University.

Please be aware that the Student Mental Wellbeing Service is not an emergency service. 

If you feel that you are at risk or in crisis, or if you are concerned about the welfare of someone you know, contact:

  • Your GP. Please note: NHS Direct can be reached 24/7 on 111

  • Emergency Services on 999 and ask for an ambulance if a life is in danger

  • Kent and Medway NHS Single Point of Access on 0300 222 0123

  • The Samaritans on 116 123 (Freephone). They provide confidential, emotional support 24/7.

  • Mental Health Matters Helpline on 0800 107 0160. Confidential emotional support and guidance, 24/7. They also have details of local and national support services.
  • All Christ Church students have free access to Big White Wall, a safe online community to talk anonymously about issues that are affecting you.  Big White Wall can help you start to take control and get the support you need to feel better.


Introductory Questionnaire

We have to ask certain questions which might feel very personal, intrusive or difficult to answer.  Please only state as much as you feel comfortable with and if you are struggling in any way to complete the self-referral form, you are very welcome to come and see us at our drop in service, or email us.  Information can be found on the main Student Support Health and Wellbeing page.

NB: Please type text directly into each field and do not cut and paste text from other documents as, for technical reasons, this will prevent your information being received. 

Once you have completed all the questions below and are ready to submit the fully completed questionnaire click on the continue button at the bottom of the page.  Your answers will be submitted or you will be prompted to fill in an answer you may have over-looked.  Once your answers are accepted as submitted you cannot return to review or amend this page.