Inquire

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First name *

We ask for your name so we can address you personally.

Last name *

How old are you?

18-24
25-34
35-44
45-54
Over 55

Knowing your age helps our counselor tailor their approach to your unique life stage, ensuring more relevant and effective therapy outcomes.

Which country do you live in? *

We need to know to match you with counselors licensed to practice in your country or state (in the United States). We will never use or share this information with anyone else.

Could you briefly outline the main issue you're currently facing?

Your answer will help us match you with a therapist who can best meet your needs

What’s your relationship status?

Single
In a relationship
Married
Divorced
Widowed
Other

How satisfied are you with your close relationships?

I’m absolutely satisfied
I’m a bit worried
I’m seriously worried

What are you hoping to focus on in counseling? *

Choose what’s important now; we’ll use it to match you with the right therapist.

Would you prefer a counselor of a specific gender?

First Choice
Second Choice
Third Choice

We will do our best to accommodate any preference you have for the gender of your counselor, though please be aware that it might not always be possible

Any other preferences for a therapist?

Your preferences help us match you with a counselor who aligns with your needs and comfort level.