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Therapist Matching Questionnaire
MATCH TO MANAGE
This questionnaire will take you approximately 20 minutes. We recommend you find a quiet place to complete it. You may notice that some of the questions are repetitive. This is intentional to ensure we get accurate results.
Your responses are fully confidential and will not be shared without your consent.
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* Indicates required question
ABOUT YOU
First name
*
Your answer
Last Name
*
Your answer
Phone
*
Your answer
Mobile
*
Your answer
Email
*
Your answer
Business name
*
Your answer
Business address
*
Your answer
Based on qualifications are you a...?
Psychologist or
Counsellor
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Are you currently registered?
*
Yes
No
Predominately, are you using Psychmatch to:
*
Manage enquiries and intake
Build practice
Do you provide tele-health?
*
Yes
No
What is your average wait time?
*
0-2 weeks
2-4 weeks
4-6 weeks
6-8 weeks
more than 8 weeks
What is your average out of pocket fee?
*
Your answer
This question relates to our "Refer a therapist and get another 30 days free" promotion. If this doesn't apply to you, please continue to the next section. Were you referred by a therapist? If yes, please provide their full name below.
Your answer
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