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About
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Contact
Get Your Right Fit
Please fill out this form to be matched with the right therapist for your needs.
First name
Last name
Email
Phone
Birthday
Day
Month
Year
Preferred Contact Method?
*
Call
Email
Text
WhatsApp
Preferred Session Format?
*
In Person/Physical
Virtual/Online
No Preference
Therapist Preferences
*
Male
Female
Age 22-25
Age 26-30
Age 31-40
Age 40 and above
Any age
Religious perspective
Non-religious
No preference in general
What are the main reasons you’re seeking therapy? (Check all that apply)
*
Anxiety
Depression
Stress Management
Childhood Trauma/Inner Child Healing
Trauma/PTSD/CPTSD
Relationship Issues
ADHD/Autism/Neurodivergence
Self-esteem, Self-confidence & Self-worth
Self-discovery & understanding
Emotional Regulation
Grief/Loss
People-pleasing & Boundaries
Communication
Career/Work
School
Transitions
Other
What do you hope to achieve through therapy?
*
Submit
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