Let Us Help You Find the Right Therapist
Not sure where to start? Please take a few minutes to fill out this short questionnaire so we can recommend the best fit for your needs and preferences. Your responses are confidential and will only be used to support your connection to the right therapist.  Our leadership team will review these responses personally and provide you with best matches according to your availability and requests.

IF you know who you'd like to book with, please skip this questionnaire! It's not mandatory. Feel free to book with your chosen therapist on our booking site! 

Please check your junk mail if you do not see a response from us within one business day.
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Email *
Name *
How would you prefer to attend your therapy sessions? *
Required
Assessment Options; please note that for all autism assessments, clients must be also connected to a clinical counsellor at Island Clinical Counselling for at least one session.
If you prefer in-person, which location works best for you? *
Required
Age Group *
Required
Do you have a gender preference for your therapist? *
Required
Do you have health insurance that covers counselling sessions? *
Required
Do you require other funding?
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Do you require a sliding scale or Pay What You Can program? (Only offered by Students, and not billable to private insurance)
Do you have a preference for the type of therapist you see? *
Required
What are the main reasons you’re seeking counselling? (Optional, select all that apply) *
Required
Groups/Workshops 
Are there any specific goals you have for therapy? (Optional)
What days or times generally work best for you? *
Required
How soon are you hoping to start counselling? *
Required
 Is there anything else you’d like us to know before we match you with a therapist?  
Would you like your results sent via text or via email? *
Phone Number (we can text you if we do not hear from you, in case our email goes to your junk folder!) *
I know to check my junk/spam folder in case the personalized emailed results do not show up within 24-48 hours? *
A copy of your responses will be emailed to the address you provided.
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