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Full Name
Email
Phone
Do you prefer a female or male therapist?
Female
Male
No Preference
What time of the day works best for the initial consultation?
Any time with planning
Mornings
Lunchtime (11 am-1 pm)
Evening (4 pm-6 pm)
After 7 pm
If you decide to work with us, what time of the day works best for your scheduled sessions?
I don't work a consistent schedule so I'm flexible
Anytime - I make my own schedule
Mornings
Lunchtime
Evenings
For our free consultation together, how do you prefer to meet?
Video / Online with Zoom
Phone call
How soon are you interested in starting sessions?
First available
No rush, but I'm committed to starting
I'm not sure I'm ready yet, but I thought I'd try something new
Additional Info
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