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Sliding Scale Request Form - Emily Duncan Sexology
A sliding scale is a negotiated reduced session fee based on someone's access needs to reduce financial barriers to support. There are only limited sliding scale places available at Emily Duncan Sexology. The fee we negotiate is based on what you can afford to pay and how many other clients are accessing a sliding scale.
Please complete the questions below and you will receive a response within 5 business days.
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Name
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Are you interested in individual or partnered sessions?
*
Individual
Partnered
What session fee is affordable for you?
*
Your answer
Why are you interested in working with Emily?
*
Your answer
Do you identify with any of the below?
First Nation or Indigenous
Torress Strait Islander
Aboriginal
Disabled
Neurodivergent
Chronic Illness
Person of colour
Transgender
LGBQIA+
Unemployed
Homeless
Full-time student
Other:
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Is there anything else you would like Emily to know?
Your answer
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