Match With a Therapist

1
What kind of therapy are you interested in?* This field is required.
Individual Therapy
Couples and Relationship Therapy
Family Therapy for Children (Adolescents and Teens)
Counseling for Entrepreneurs
Group Therapy
College Counseling
2
What areas would you like to work on in therapy?* This field is required.
Anxiety & Significant Life Changes
Depression and/or Negative Feelings
Trauma or Traumatic Experiences
Relationships with Friends, Family, and Partners
Concerns About Health
Academic/Career Stress or School/Work Transitions
Concerns About Race or Social Injustice
Concerns About Gender or Sexuality
Cultural Identity/Exploration
COVID-19/Pandemic-Related Stress
Life in General
3
Is this your first time seeking therapy?* This field is required.
Yes, I'm new to therapy.
No, I've been in therapy before.
4
Are you interested in any of the following therapy approaches?
Eye Movement Desensitization and Reprocessing (EMDR) Therapy
Cognitive Behavioral Therapy (CBT)
Psychodynamic Therapy (Insight-Oriented Therapy)
Dialectical Behavior Therapy (DBT)
LGBTQIA+ Affirmative Therapy
Sex Therapy
Somatic Therapy (Including Yoga & Meditation)
5
Are you willing to use your Out-of-Network insurance benefits to pay for therapy?* This field is required.Therapists at our practice are all out-of-network providers. This means that your insurance company typically will reimburse you directly after you've met your deductible. We provide courtesy billing and can submit claims on your behalf.
Yes, I'd like to learn moreNo/I'm not sure
6
Using your out-of-network benefits, what cost per session are you able to commit to?* This field is required.Many insurance plans provide reimbursement for out-of-network services once you meet your deductible. We’re happy to try to help you find out what that reimbursement might look like.
$125-$175
$175-$225
$225-$275
$275-$325
$325+
7
What times work best for therapy sessions?* This field is required.
I like a routine during the day: 9am-5pm on weekdays.
I'm an early bird during the week: Before 9am on weekdays.
I'm a night owl or work late: Only after 5pm on weekdays.
Weekends work best for me.
I’m flexible.
8
Would you like your therapist to have expertise in certain areas?Select all that may apply
Anxiety
Depression
Family Issues
Grief and Loss
Counseling for Entrepreneurs and Creatives
BIPOC and/or Race-Related Concerns
Trauma or Traumatic Experiences
LGBTQIA+
Sex Therapy and/or Sex and Intimacy Concerns
Young Adult Concerns
Women's Issues
Men's Issues
Mindfulness/Meditation
Religion/Spirituality or Existential Concerns
Yoga and/or Mind-Body Approaches
Acculturation/Immigration
9
I prefer a therapist who identifies as:* This field is required.Although we don’t currently have therapists who identify as Non-Binary or Transgender, we can gladly refer you to a therapist who does identify as such. All of our therapists are Non-Binary and Transgender-affirmative.
No preference
Male
Female
Non-Binary
Transgender
10
Is it important to you that your therapist identifies as BIPOC?* This field is required.
YesNo
11
Is it important to you that your therapist identifies as LGBTQIA+?** This field is required.
YesNo
12
Are you interested in connecting with a therapist who's a native speaker in one of the following languages:* This field is required.
Cantonese
English
Polish
Portugese
13
How would you rank the importance of these therapist qualities in your match?Drag and drop to order.
14
At Clarity Therapy, we welcome everyone and offer a safe space for personal expression. Is there anything else you’d like to share with us before we connect?
15
What's your preferred email?* This field is required.Your personalized therapist matches will be sent via email.
example@example.com
16
When are you looking to start therapy?* This field is required.
As soon as possible
In the coming weeks or in a month or so
I’m not sure yet and I'm just exploring my options
17
How would you first like to connect with your therapist matches?* This field is required.Therapists will only contact you via your preferred communication method.
I would like my therapist matches to contact me via email only
I would like my therapist matches to contact me via phone call only
My therapist matches can contact me via email or phone
I want to reach out to my therapist matches on my own terms
18
What's your preferred phone number?* This field is required.Your therapist matches will call you at the number you provide.
Area Code
Phone Number
19
Please let us know if there are any additional precautions we should take when calling you:* This field is required.Calls will always be discreet, but please let us know if there are any additional precautions we should take when contacting you in case we aren't connected with you immediately.
Ok to leave a voicemail or identify self to the person who answers
Do not leave a voicemail
Do not identify as provider to person answering
20
How should we address you? Please feel free to provide your name, an alias, or just your initials.* This field is required.
21
How did you hear about us?
Google
PsychToday
My Physician or Psychiatrist
Friend, Family, or Colleague
Instagram
LinkedIn
Facebook
22
Care to share your feedback with us?* This field is required.In an effort to help us improve our process, click "Yes" if you're willing to provide feedback in the coming weeks after you’ve been able to connect with a therapist.
YesNo
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