A quick questionnaire

What is your gender identity?

Woman
Man
Gender/Queer/Non-Binary
Not specified

What is your age group?

Woman
Man
Gender/Queer/Non-Binary
Not specified

Have you previously worked with a counselor/therapist?

Woman
Man
Gender/Queer/Non-Binary
Not specified

What type of sessions do you prefer?

Woman
Man
Gender/Queer/Non-Binary
Not specified

How would you describe the support you are looking for? Take a moment to think about and to write down your expectations of our sessions.

How frequently would you prefer to have sessions?

First Choice
Second Choice
Third Choice

What time of day works best for you for scheduling sessions?

First Choice
Second Choice
Third Choice

the (In support

How do you feel about engaging in practices like journaling, mindfulness, or Cognitive Behavioral Therapy (CBT) exercises between sessions? (In other words, homework!)

First Choice
Second Choice
Third Choice

Is there anything else you would like me to know before we start working together?