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Group Supervision Intake form
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Email
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Record my email address with my response
Name
*
Your answer
Age
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Your answer
Email
*
Your answer
Phone No-
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Your answer
Previous Education
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M.A. / Msc Psychology (Clinical)
M.A/ Msc Psychology (Counselling)
Msc Neuropsychology
Masters in Applied Psychology
Masters in Social Work
Other:
Years of experience
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Your answer
What setting do you practice in?
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Hospital/ Clinic
Private Practice
Mental Health Startup
NGO
Other:
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What kind of frequency are you looking for?
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Once a week
Once every 2 weeks
What kind of issues do you expect to be addressed?
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Your answer
What kind of therapeutic techniques do you equip in your practice?
*
Person Centered Therapy
Cognitive Behavioural Therapy
Gestalt Therapy
Rational Emotive Behavioural Therapy
Existential Therapy
Reality Therapy
Trauma Informed Therapy
Queer Affirmative Therapy
Dialectical Behavioural Therapy
Acceptance and Commitment Therapy
Behavioural Therapy
Psychodynamic Therapy
Other:
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Anything else you would like to tell us?
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