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
What are you hoping to get from the Relationship Support Service? Tell us as little or as much as you're comfortable with.
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
Stay 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 stay in touch and send you useful information and resources to help you with your next steps. We look forward to keeping in touch with you by post and phone with information about our support services, research and how you can get involved with our life-saving work, for example, through fundraising, campaigning or volunteering.
Would you like to hear from us by email?
Yes
No
Would you like to hear from us by SMS
Yes
No
Please tell us your mobile phone number
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)
We promise to keep your details safe and never sell or swap them with anyone. Our
privacy policy
explains how we keep this promise. If you don't want to hear from us, or you change your mind about how we contact you, please email
enquiries@thebraintumourcharity.org
or call 01252 237792
Contact Information