Client Preference Survey
Your answers to the following questions will be used to match you with a mental health professional. We will try our best to accommodate most of your preferences. Based on availability you may be placed on our waiting list. Though we do not offer all options listed, your response will help us assess client needs and guide the future direction of Monarch Counseling.
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Preferred Language
Method of therapy
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Method of payment
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What type of therapy are you looking for?
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Therapist preference
Reasons for considering therapy
Available days to attend therapy
Available timeframes to attend therapy
How did you hear about us
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Contact info
Your name *
Phone number *
E-mail *
Preferred contact method *
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