What’s your gender?

WomanMan
Gender plays an important role in shaping personal identity and experiences. This information will help me create a more personalized approach.

What’s your relationship status?

SingleMarriedIn a relationshipDivorcedWidowedOther

Do you consider yourself spiritual?

YesNoPrefer not to say
This information helps me create a more personalized approach.

Have you ever been in therapy before?

YesNo
Understanding therapeutic history helps me create a more effective plan.

What led you to consider therapy today?

This is a preliminary question to understand what you are going through. You will have more opportunities to explain or elaborate on your feelings and challenges later on.

What are your expectations from the therapist?

A therapist who listensExplores my pastTeaches new skillsChanges beliefsGuides me to set my goalsOtherI don’t know

What is your preferred therapy language?

EnglishSpanish