*1.Have you ever hesitated to start or continue therapy, life coaching, and/or allied health appointments due to its cost?  If so, why?(Required.)

*2.How do you primarily fund your therapy sessions (e.g., out-of-pocket, credit card, health insurance, etc.)?(Required.)

*3.What financial challenges, if any, have you encountered when trying to access therapy?(Required.)

4.Have payment challenges ever influenced your decision to delay or skip therapy sessions?

Yes

No

5.Would you be open to being contacted for additional information or updates as it relates to developments in payment options for therapy, life coaching, or allied health sessions? 

If yes, please enter your name and best contact (email, phone, address) information for future updates.