Sonder Hope Counseling LLC.
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Name
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First
Last
Pronouns
Email
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Phone Number
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Preferred Contact Method
Phone
Email
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Preferred Contact Time(s)
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Mornings (9am-11am)
Afternoons (12pm-5pm)
Evenings (5pm-7pm)
Weekdays (Mon-Fri)
Weekends (Sat & Sun)
What counseling services are you looking for?
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Individual Counseling
Couples/Relationship Systems Counseling
Unsure
Inquiring About Services For
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Myself
Someone Else
How did you hear about Sonder Hope Counseling?
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Google Search
Personal Recommendation/Referral
Healthcare/Medical Provider Referral
Psychology Today Search
Portland Therapy Den Search
Business Card/Community Board Post
Other
are we're questions
Referral Source Name/Info (if you selected "Other" on the question above)
How soon are you hoping to start counseling services (if we're a good fit)?
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ASAP (within the next 1-2 weeks if possible)
I have some time/want to wait a bit (within 1-2 months)
Unsure/Still Exploring
Anything else you'd like me to know or questions before our call?
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