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Therapist Flourishing Contact Information
* Indica que la pregunta es obligatoria
How many individual adult clients do you typically see per week (not including couples/families, adolescents, or children)?
*
Tu respuesta
Are you willing to audio record some client sessions?
*
Yes
No
Maybe and would like to learn more
Name
*
Tu respuesta
Email
*
Tu respuesta
Phone number
Tu respuesta
Best way to contact you
*
Phone
Email
Obligatorio
Best time to contact you
Morning
Afternoon
Evening
What time zone do you live in?
*
Elige
Eastern Standard Time (EST)
Central Standard Time (CST)
Mountain Standard Time (MST)
Pacific Standard Time (PST)
Other (specify below)
Professional field
*
Clinical Mental Health Counseling
Counseling
Counseling Psychology
Clinical Psychology
Psychiatry
Psychiatric/Mental Health Nursing
Social Work
Marriage and Family Therapist
Days and times of the week I am generally available for a 20-30 minute onboarding session via Zoom:
8am-9am
9am-10am
10am-11am
11am-12pm
12pm-1pm
1pm-2pm
2pm-3pm
3pm-4pm
4pm-5pm
5pm-6pm
6pm-7pm
Monday
Tuesday
Wednesday
Thursday
Friday
8am-9am
9am-10am
10am-11am
11am-12pm
12pm-1pm
1pm-2pm
2pm-3pm
3pm-4pm
4pm-5pm
5pm-6pm
6pm-7pm
Monday
Tuesday
Wednesday
Thursday
Friday
Any other questions, concerns, or alternate times requested:
Tu respuesta
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