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Match me with a Counsellor at Nested Heart
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Email
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Your email
What is your first & last name?
*
Your answer
What are your pronouns?
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Your answer
Do you require a specific designation for insurance purposes?
(This is important because some insurance plans cover only certain types of counsellors)
RSW (registered social worker)
RCC (registered clinical counsellor)
RTC (registered therapeutic counsellor) Note: this is less common for insurance coverage
I'm not sure (If you’re unsure, check with your insurance provider to see which designations they cover. Each employer's plan will be different.)
No, I’m paying out of pocket
Other:
Are you interested in a lowered cost option with a Practicum Student?
Raja
Advaani
(he/they) is
a new RCC practicum student with us from September 2025 - August 2026!
Please let us know if you would like to connected with Raja for lowered cost counselling sessions.
Yes, please connect me with Raja
No thank you
Clear selection
Which city do you live in?
Your answer
Would you like sessions online or in person?
Online preferred
Online only
Either
In person preferred
In person only
Clear selection
What's your availability like?
Evenings
Daytimes
Weekends
Other:
What type of therapy are you looking for?
Individual therapy
Couples therapy
Both (Note: If you select both, you may be contacted by different therapists, as it’s recommended to have separate therapists for individual and couples therapy.)
Clear selection
If my counsellor had knowledge in ______________ it would enhance our therapeutic relationship.
Non-monogamy/Polyamory/Swinging/Relationship Anarchy
Kink/BDSM/Fetish
Queer/2SLGBTQPIA
Gender Identity/Trans
Psychedelic Integration
Sex Work/Adult Film Industry
Pregnancy/Birth/Parenting/Family Planning
Substance Use / Addictions
Neurodiversity
Decolonization
Disability / Chronic Illness
Grief & Loss
Navigating Race, Culture and Identity
High Control Religious Groups
Other:
Would you be most interested in a therapist who is...
Soothing
Fired Up
Humorous
Primarily cerebral (mind)
Primarily somatic (body)
Other:
What brings you to therapy now?
Your answer
How did you hear about us?
Vancouver Taboo Expo
Victoria Women's Expo
Friend/ Family
Physician / Specialist
Social Media
Web search
I am a previous client
Another Nested Heart Counsellor referred me
Another Counsellor referred me
Other:
Clear selection
Send me a copy of my responses.
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