The Counseling Community Interest Survey

 
1. What type of Colorado mental health credentialing do you have?
*
2. In a typical MONTH, about how many hours do you see clients/patients face to face in an office setting?
3. In a typical MONTH, about how many hours would you LIKE to see clients/patients face to face in an office setting?
4. In which city/cities would you like to practice?
5. Indicate your interest in being in a community of independent counselors.
6. I am willing to share private office space with -
7. Select one or more
8. I understand that online appointment scheduling is included in membership in The Counseling Community Community as is parking, utilities, professional mailing address, janitorial services for common areas and wireless internet.

I might also be interested in:

9. How soon do you need office space?
10. How would you most like to receive additional information regarding our organization?

If you have questions or would like more information about The Counseling Community, please give us your contact info - name plus email and/or phone number. This information and all of your survey responses will be kept confidential. Thank you for your interest in The Counseling Community, Also you may visit our website at www.thecounselingcommunity.net
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