Hey hey, I’m Dierdre! I'm glad you're here and am looking forward to connecting with you. My goal during our consultation is to see if we're the best fit. Please complete this short questionnaire and schedule a time for us to meet. Name * First Name Last Name Email * Phone (###) ### #### How did you hear about me? When it comes to your mental health, what are you currently struggling with the most? (Feeling misunderstood, Anxious, overwhelmed, etc) What brings you to therapy now? (Recent break up, etc) What have you tried to alleviate these challenges? Have you been to therapy before? Why is it important to you to resolve these issues? (Worried it’s going to impact my relationship, job, I’ll feel lost forever, etc) In terms of therapy is there anything specific you are looking for? (CBT, a therapist that understands my culture, etc) How committed are you to resolving these struggles and reaching your goals? (1 Star = Not committed to 10 Stars = 110% committed) Thank you! I will be in touch shortly.
