Relationship Support Service
About you
Title
Please select...
Mr
Ms
Miss
Mrs
Mx
Dr
Prof
Rev
Date of birth
This service is only available
to people aged 18 and over
First name
Last name
Email
Phone number
This service is only available
to people living in the UK
In order to refer you to Relate, our relationship counselling partner, we'll need to give you a call and discuss your situation. If there are times that are more convenient for you, let us know using the checkboxes below.
Monday AM
Monday PM
Tuesday AM
Tuesday PM
Wednesday AM
Wednesday PM
Thursday AM
Thursday PM
Friday AM
Friday PM
Unfortunately, we can't guarantee we'll be able to ring you during these times. So, if it's more convenient, you can call our Support and Information Line on 0808 800 0004 or email us on
support@thebraintumourcharity.org
to arrange a call.
About your relationship
Which of the following best describes your relationship?
I have been diagnosed with a brain tumour and am in a relationship
My partner has been diagnosed with a brain tumour
My partner and I have both been diagnosed with a brain tumour
I'm single but my brain tumour diagnosis has affected my relationships
What are you hoping to get from the Relationship Support Service? Tell us as little or as much as you're comfortable with.
Keeping in touch
We will use the information you give us (like your name and phone number) to contact you about accessing our Relationship Support Service. If appropriate we'll then refer you to Relate, our relationship counselling partner.
We also use this information to monitor our services (for example, to see how many people access the Relationship Support Service) and make improvements.
We'd love to keep you up to date with our e-newsletter, which includes a range of information including the impact of your support through the work we're funding with The Brain Tumour Charity (research, family days and the HeadSmart campaign) and how you can stay involved, including events and fundraising.
Can we keep you up to date via email?
Yes
No
How did you hear about this service?
Please select...
Social media
Search engine (ie Google)
A family member, friend or colleague
A health professional
Recommended by another charity
The Brain Tumour Charity website
Email from The Charity
The Brain Tumour Charity staff member
The Grey Matters
Other
Which charity recommended this service?
Other (please specify)
You can change your contact preferences at any time by emailing
enquiries@thebraintumourcharity.org
or calling 01252 237792.
Your details are held on our secure database and we promise never to share them with any other organisation for their marketing purposes. You can find out more in our
Privacy Policy
.
Contact Information