Compatibility Survey: Is Our WorkTogether the Right Fit?
This brief survey will help determine if myapproach aligns with your goals and needs.
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
What are you seeking support for?
Grief and loss
Relationship challenges or endings (non-death losses)
Emotional overwhelm or uncertainty
Other
How do you prefer to approach challenges?
Taking action and trying new strategies
Reflecting on feelings and exploring deeper insights
A mix of both
Have you worked with a psychologist or therapist before?
Yes
No
How comfortable are you with solution-focused, action-oriented strategies?
Very comfortable
Somewhat comfortable
Not comfortable
What outcome would you ideally like to achieve through therapy?
Gaining clarity on next steps
Learning coping tools for grief or loss
Rebuilding after a relationship ends
Other
Are you open to brief, goal-orientedtherapy sessions?
Yes, I prefer short-term, focused work
Maybe, I am exploring options
No, I prefer longer-term therapy
What is most important to you in a therapist?
Clear guidance and actionable tools
Empathy and understanding
Expertise in handling grief and relationship losses
Other
Is there anything else you’d like me to know about your current situation or needs?
Submit
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