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Find The Right Therapist
This simple questionnaire will take about 5 minutes to complete.
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1
What kind of therapy or services are you interested in?
*
This field is required.
Select all that apply
Individual Therapy
Couples and Relationship Therapy
Family Therapy for Children (Adolescents and Teens)
Group Therapy
Neuropsych Evaluation or Diagnostic Testing
Psychiatry for medication management
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2
Which diagnostic testing services are you interested in?
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Please select all that apply
IQ/Learning disability
ADHD
Personality
Mood
I'm not sure yet
Testing for Children & Adolescents
Other
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3
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
Life in General
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4
Please tell us about you and what you're hoping to work on in therapy.
*
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The more you share, the more personalized recommendations we're able to provide.
0/100
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5
Please describe the key qualities or traits you seek in a therapist, as well as those you wish to avoid.
E.g.: "I want a therapist who... I don't want a therapist who..." Your clarity will help us find your ideal matches.
0/100
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6
Is this your first time seeking therapy?
*
This field is required.
Yes, I'm new to therapy
No, I've been in therapy before
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7
Are you interested in a specific type of therapy?
(I.e. "I'd like to learn about treatment for anxiety," "I want something more structured that provides homework like CBT")
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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 Artists, Creatives, & Performers
Counseling for Entrepreneurs/Executives
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
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9
We offer mindfulness and meditation workshops to help you navigate life's challenges with resilience. Would you like to learn more?
*
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Yes
No thanks
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10
We offer trauma-informed yoga groups for healing and empowerment. Would you like to learn more?
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This field is required.
Yes
No thanks
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11
Therapists at our practice are not in-network with any insurance companies. However, if you have out-of-network benefits, your insurance may reimburse you.
*
This field is required.
Many of our clients receive reimbursements ranging from $50-$250+ per session. The actual amount you receive will depend on your individual plan. If you’re unsure, we'll be happy to check on this with you.
I'd like to pay out of pocket
I know that my out-of-network benefits will cover therapy
I'd like to learn more about using my out-of-network benefits
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12
The majority of our therapists charge the NYC market rate for therapy sessions, with some offering a reduced rate. The average fee for a 45-minute session in NYC is $275/session.
*
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Please select all of the fee ranges you're comfortable with.
$125-$175
$175-$225
$225-$275
$275-$325
$325-$350+
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13
Considering potential insurance reimbursement, how flexible is your budget?
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This field is required.
For an estimate, please visit Resources > Check My Benefits on our website menu.
Flexible for an ideal match
Able to afford the upper range comfortably
Fixed budget, unable to adjust
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14
Considering insurance reimbursement, what's the maximum amount you’re able to pay for therapy sessions without any flexibility?
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15
In which state do you reside?
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Please Select
NY
NJ
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NM
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Please Select
Please Select
NY
NJ
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NM
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
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16
Which session format works best for you?
*
This field is required.
Therapists must be licensed in the state where the client is located for virtual sessions.
I prefer in-person sessions in NYC
I prefer virtual/telehealth sessions from my state
I prefer a mix of both in-person and virtual sessions
I’m open to any session format
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17
Which times work best for therapy sessions?
*
This field is required.
Please select all that apply.
Anytime between 9am-5pm on weekdays
Before 9am on weekdays
After 5pm on weekdays
Weekends
I’m flexible
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18
Do you have any preferences regarding the identity or background of your therapist?
*
This field is required.
Please select any that apply to you. If you have no specific preferences, choose 'No preference'.
No preference
Male
Female
Non-Binary
Transgender
BIPOC (Black, Indigenous, and People of Color)
LGBTQIA+
Multilingual therapist - العربية (Arabic), 粵語療法 (Cantonese), Español (Spanish), Italiano (Italian), 한국인 (Korean), Polskim (Polish), Portuguese (Português), ਪੰਜਾਬੀ (Punjabi)
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19
I'd like to connect with a therapist who speaks:
*
This field is required.
العربية
Español
Italiano
한국인
粵語療法
Polskim
Português
ਪੰਜਾਬੀ
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20
What's your preferred email?
*
This field is required.
Your personalized therapist matches will be sent via email.
example@example.com
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21
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
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22
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
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23
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
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24
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
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25
How should we address you? Please feel free to provide your name, an alias, or just your initials.
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26
What are your pronouns?
*
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She/Her
They/Them
He/Him
I prefer being referred to by name
Other
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27
What is your age?
*
This field is required.
If you're filling out this survey on behalf of someone else, please select their age.
Under 18
18-24
25-34
35-44
45-54
55-64
65 or over
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28
How did you hear about us?
*
This field is required.
Google
PsychToday
My Physician or Psychiatrist
Friend, Family, or Colleague
A current or former Clarity client
Instagram
LinkedIn
Facebook
Other
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29
Who referred you to Clarity Therapy?
If you feel comfortable, please share the name of the person who told you about us.
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30
Care to share your feedback with us?
*
This field is required.
Select click "Yes" if you're willing to provide feedback in the coming weeks once you've connected with a therapist.
Yes
No
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