Therapist Candidate Questionnaire

Do you have a valid New York State license to practice therapy? (LCSW, LMFT, LMHC, LCAT, psychology post doc)

Yes

No

Briefly describe your general approach to treatment. *

What is your expectation for how long therapy takes? *

Please indicate your experience level with providing virtual individual therapy.

None

A little bit

Some

A good amount

Lots

I enjoy providing virtual therapy

Not at all

Somewhat, but I prefer in person

I enjoy it

It is my preference

Do you expect a remote team to feel different than an in person team?

Not at all

Somewhat

There are differences, but remote works for me

It is totally different.

How would you handle a situation where a client told you their pronouns were she/her but filled out they/them on a form? *

Why are you a good fit for our specific practice? *

Please upload your resume here. PDF ONLY please. *