Balance Psychological - Therapist Match Quiz
Your answers to these questions will help us match you to one of our therapists. We will get back to you within 24 hours (excluding weekends) with your match results. If you are booking for a minor, please answer these questions on their behalf.
Your first and last name *
Email *
Address *
Phone number *
Is it ok if we leave a voicemail?  *
Which location are you looking to book at?
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What is your age? *
If booking minors, please provide their first and last name(s).
What are the issues you would like to address? (Choose all that apply)
 *
Required
What time of day works best for you? (choose all that apply) *
Required
Are you interested in any of these treatment approaches? (No worries if you haven't heard of some of these!)
 *
Required
Which therapeutic styles appeal most to you?
 *
Required
Are you ok with dogs? We have a therapy dog in training on the premises who works with our therapists in Animal Assisted Therapy *
Is there anything we should know about your dislikes? (For example, this can be about the process, the environment, or your therapist's style)
 *
Tell us about what modality you prefer:
 *
Tell us about what you like to do for fun! *
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