Why are you visiting today?

Are you looking for services for yourself
or someone else?

Age Group:

Preferences for Therapist:

Specific Symptoms (if any):

Service Preferences:

Therapy Treatment Preferences:

Appointment Time Preferences:

Your Ideal Therapist:

Please write a brief paragraph describing your perfect therapist and the qualities that matter most to you. Also, mention the type of therapist that would almost certainly not be a great fit for your personality.