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Whom do you work with?

Individuals

Families

Small Groups

Large Groups

Small Businesses

Large Businesses

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What is your session rate?

What rate do you charge per session for individuals?

What rate do you charge couples per session?

Do you offer clients a sliding scale rate (discounted)?

What year did your practice start?

Are you accepting new clients right now?

What is your public facing Facebook address?

Do you have a public facing twitter account?

What is your x.com (formerly Twitter) address?

What is your public facing LinkedIn address?

Do you use the Simple Practice platform to manage your business?

Where can clients see your video?

What is your website url?

What is something you would like new clients to know?

What is your number one specialty?

What is your second specialty?

What is your third specialty?

Anything you would like to mention about finances?

Anything you would like to share about the services you offer?

What college or university did you attend?

What additional education did you have?

Are there any other educational programs you have completed?

What else can you tell us about your education?

What zip / postal code is your practice located at?

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Will you use our service on a desktop?

What is your mobile phone number that you would like us to send notifications to?

Will you use a tablet to access this service?

What credentials have you earned?

Temporary Qualification Data

Do you offer clients a free consultation?

What is the status of your primary credential?

What is your primary credential role?

What is yoru primary credential number?

What state / province is your primary credential from?

When does your primary credential expire?

What modalities do you specialize in?

A providers top three specialties

Please share an image of yourself and your office.

Is religion important to your practice?

What is your NPI id?

What is your facebook profile?

What is your x.com (twitter) profile?

What is your linkedin.com profile?

Do you have a video biography?

Do you have your own website?

What is the highest level of education you have completed?

Is there anything you would like to tell us about your education?

Are there any specific credentials you want your provider to have?

Are there any specific qualifications you would like your provider to have?

Tell us about yourself.

Anything you would like to share about your finances?

What should your provider specialize in?

What else should your provider specialize in?

And one last specialty?

Will you use your desktop computer to access this service?

How about your mobile device?

How about a tablet?

What type of user are you?

Client

Provider

How would you describe your communication style with clients?

Analytical and reflective

Challenging and growth-oriented

Collaborative and engaging

Direct and straightforward

Supportive and encouraging

Warm and empathetic

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Please provide a sample of how you typically respond to a client sharing a challenge or difficult situation:

Do you use any specific language patterns or phrases frequently with clients?

Which therapeutic modalities do you primarily practice?

Cognitive Behavioral Therapy (CBT)

Dialectical Behavior Therapy (DBT)

Humanistic/Person-Centered Therapy

Mindfulness-Based Approaches

Psychodynamic Therapy

Solution-Focused Brief Therapy

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What are your core therapeutic principles or values?

How do you typically structure your therapeutic approach?

What types of exercises or homework do you typically assign to clients?

Behavioral experiments/activities

Cognitive restructuring exercises

Journaling/writing exercises

Mindfulness practices

Reading assignments

Skill-building exercises

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How do you typically phrase homework assignments to clients?

Please provide an example of a typical homework assignment you might give:

How do you typically address resistance or defensiveness in clients?

How do you respond when clients report not completing homework or exercises?

What is your approach to encouragement and motivation?

How would you describe your writing style?

Brief and concise

Casual and conversational

Detailed and elaborate

Direct and literal

Formal and professional

Metaphorical and illustrative

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Do you have any particular phrases, metaphors, or analogies you frequently use?

Please write a paragraph that demonstrates your typical writing style when communicating with clients:

You can upload anonymized examples of your writing to help train your AI assistant. Remove all client identifying information before uploading.

What topics should your AI assistant avoid discussing with clients? Upload homework instructions (PDF, DOC, TXT)

When should your AI assistant escalate or refer back to you?

How many hours notice do you require from your clients to accept a cancellation and refund their purchase?

12 hours

24 hours

36 hours

48 hours

Which provider type BEST describes you?

Therapist

Psychiatrist

Life Coach

Eastern Medicine

What ways of connecting feel most comfortable to you?

in-person

online

Texting by phone (SMS)

Chatting with our AI assistant

What phone number can clients reach you at?

Tell us about your practice, what makes you unique, and how you help your clients.

Do you only want to meet providers who offer free consultations?

What is your first and last name?

Do you want to use your insurance to pay for your services?

What communication methods do you use with your clients?

in-person

online

Texting by phone (SMS)

Chatting with our AI assistant

Did you join for yourself or you and your partner or a group?

Individuals

Families

Small Groups

Large Groups

Small Businesses

Large Businesses

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Would you like to share a recent image of yourself?

Do you accept insurance?

I accept insurance.

What age should your provider be?

Adults

Children (6 to 10)

Elders (65+)

Preteen

Teen

Toddler

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Which client age ranges do you work with most?

Adults

Children (6 to 10)

Elders (65+)

Preteen

Teen

Toddler

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Do you prefer your provider to be a specific ethnicity?

Asian

Black and African American

Hispanic and Latino

Native American

Other Racial or Ethnic Background

Pacific Islander

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Do you specialize in any ethnicities in your practice?

Asian

Black and African American

Hispanic and Latino

Native American

Other Racial or Ethnic Background

Pacific Islander

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What type of provider are you looking for?

Therapist

Psychiatrist

Life Coach

Eastern Medicine

Is religion important to you?

If you've used a provider in the past, what year did you start?

Do you need a sliding scale rate?

What zip/postal code code are you in?

What rate are you hoping to pay?

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