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* 1. Why were you seeking services with this Licensed Mental Health Counselor? (More than one answer can be chosen)

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* 2. If you use the telehealth option, will you continue to do so after the pandemic is mostly over?

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* 3. Why are you still seeing this Licensed Mental Health Counselor?(More than one answer can be chosen)

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* 4. If this Licensed Mental Health Counselor offered a co-lead support, psycho- educational group that focusses on depression/anxiety/stressors, would you attend? (This co-lead online group would be not covered by insurance)

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* 5. Would you be willing to pay out of pocket to ensure a specific time each week?

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* 6. Which services/treatments are you aware that this Licensed Mental Health Counselor offer?

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* 7. Which services/treatments would you be willing to practice with this Licensed Mental Health Counselor?

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* 8. This Licensed Mental Health Counselor recently released a book. Did you purchase the book?

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* 9. Please leave your any feedback (positive or negative), ideas, suggestions, reviews, things to improve.

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* 10. If you want to be included in the drawing for prizes, please write your email. (You do not have to leave your email)

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