Waitlist Sign-Up
Thank you for seeking out JHJ Therapy for your therapeutic services. I am unfortunately not accepting new clients at this time; however, if you would like me to contact you when space becomes available, I will be glad to follow up with you. I understand that waiting is not always optimal or feasible depending on life circumstances, so please do whatever feels right to you during your search. Take good care, Jeanae - JHJ Therapy
Email address *
Name *
Your answer
Telephone Number *
Your answer
Type of service you are seeking (e.g. individual therapy, couple's therapy, sex therapy) *
Briefly describe what you want to work on in therapy. *
Your answer
What is your availability (keep in mind, I hold office hours M-W from 4-8pm and every other Friday from 4-7pm)? *
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service