Assist us in finding the therapist that best suits your needs.

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How old are you?
What is your gender identity?
How do you identify?
What is your relationship status?
Employment Status?
Are you religious?
Religion ?
Are you spiritual?
Ever been in therapy before?
Country
Education
Hobbies
Based on your past 2 weeks, select the following issues/situations from the form below
I prefer a therapist with experience in__
What are your expectations from your therapist? A therapist who__

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