Followup Questionaire

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About
- About Us
- FAQs
- Rates
- Locations
Counselors
Services
- Adults
- Teens
- Couples
- LGBTQ+
- Trauma
- Spirituality
- Fitness
Resources
Contact
- Get Started
- Job Opportunities

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YOUR CART

Followup Questionaaire

Thank you for your interest in one of our job opportunities. Please take a few moments to fill out this questionnaire so we can get to know you better. We will contact you regarding the next steps of the process.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

What is your desired number of clinical hours per week? *

Less than 5 5-10 10-20 More than 20

Are you comfortable using an EHR (Electronic Health Record) system? *

Yes No I am open to learning

Do you own a computer or tablet you can use for work purposes? *

Yes No I can purchase one in the future.

Do you carry malpractice insurance? *

Yes No I am willing to purchase coverage in the future.

We are exclusively a fee-for-service practice and do not work with insurance. Are you willing to help promote your services to the community? *

Yes No I am willing to learn.

Do you have experience working with lesbian, gay, and/or bisexual individuals? *

Yes No

Do you have experience working with trans and/or non-binary individuals? *

Yes No

Do you have experience working with LGBTQ+ couples? *

Yes No

Do you have any training specific to working with LGBTQ+ clients? *

Yes No

Do you have any training/experience providing spiritually-integrated counseling? *

Yes No I am willing to learn.

If yes, what is your approach to integrating spirituality into counseling (when the client requests it)? *

What do you enjoy the most about being a counselor? *

When are you available to start? *

Submit

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