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Match me with a therapist at Nested Heart
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Email
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Your email
Email
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Your answer
What is your first & last name & pronouns?
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Your answer
Do you need any specific designation for insurance coverage? Note: we don't have any RCCs on the team at this time.
RSW (registered social worker)
RCC (registered clinical counsellor)
RTC (registered therapeutic counsellor) (note: This designation is rarely covered by extended medical)
No, I'm willing to pay out of pocket
Other:
Which city do you live in?
Your answer
Would you like sessions online or in person?
Online preferred
Online only
Either
In person preferred
In person only
Clear selection
What's your availability like?
Evenings
Daytimes
Weekends
Other:
Are you looking for...
Individual therapy
Couples therapy
Both
Clear selection
If my counsellor had knowledge in ______________ it would enhance our therapeutic relationship.
Non-monogamy/Polyamory/Swinging/Relationship Anarchy
Kink/BDSM/Fetish
Queer/LGBP
Gender Identity/Trans
Psychedelic Integration
Sex Work/Adult Film Industry
Pegnancy/Birth/Parenting/Family Planning
Addictions
Neurodiversity
Decolonization
Other:
Would you be most interested in a therapist who is...
Soothing
Fired Up
Humorous
Primarily cerebral (mind)
Primarily somatic (body)
Other:
What brings you to therapy now?
Your answer
Send me a copy of my responses.
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