Take the First Step Towards Mental Wellness - Wellness Compassion

What Is Your Gender?^*

What is Your Age?^*

What is your preferred language?^*

How do you identify?^*

What is your relationship status?^*

Do you consider yourself to be religious?^*

Do you consider yourself to be spiritual?^*

Have you ever been in therapy before?^*

What led you to consider therapy today?^*

Would you prefer a therapist who is gentle or direct?^*

Would you prefer a therapist who is casual or formal?^*

When was the last time you thought about suicide?^*

Are you currently experiencing anxiety, panic attacks or have any phobias?^*

Are you currently taking any medication?^*

Are you currently experiencing any chronic pain?^*

How would you rate your current financial status?^*

How would you rate your current sleeping habits?^*

Which of the following resources would be useful for you?^*

How do you prefer to communicate with your therapist?^*

Which country are you in?^*