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Help us match you to the right therapist
What is your sex/gender?
Female
Male
Non-Binary
Other
Name
Email Address
What is your age?
13-15
16-18
18-25
26-35
36-45
46-55
56-65
66-75
76-90
Why are you here?
Alcohol, substances or other addictions
Depressed mood
Anxiety
Trauma
Relationships
Career & work issues
Motivation
Couples counseling
Business or sales consulting
Life coaching
Life success coaching
Spiritual enhancement
Enlightenment
Personal growth.
Therapy History
I have been in therapy before
I am in therapy now
I see a psychiatrist
I have not been in therapy
Employment Status
Employed
Self-employed
Business Owner
Unemployed (looking for work)
I do not work
Income
$10-$40,000
$41,000-$60,000
$61,000-$90,000
$91,000-$120,000
$121,000-$333,000
What specific changes would you like to see?
How quickly would you like to see progress?
0 / 300
How quickly would you like to see the completion of your goals?
0 / 300
Scheduling
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