Are you a current or prospective client of The Anxiety and OCD Treatment Center of Ann Arbor

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* 1. Are you a current or prospective client of The Anxiety and OCD Treatment Center of Ann Arbor

In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305) Enter 00000 if you're located in Canada.

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* 3. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305) Enter 00000 if you're located in Canada.

Which category below includes your age?

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* 4. Which category below includes your age?

What is the highest level of school you have completed or the highest degree you have received?

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* 5. What is the highest level of school you have completed or the highest degree you have received?

How much total combined money did all members of your HOUSEHOLD earn last year?

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* 6. How much total combined money did all members of your HOUSEHOLD earn last year?

How many children age 17 or younger live in your household?

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* 7. How many children age 17 or younger live in your household?

Does everyone in your household currently have health insurance, or not?

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* 8. Does everyone in your household currently have health insurance, or not?

Where did you obtain your current health insurance plan?

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* 9. Where did you obtain your current health insurance plan?

Which company is your insurance coverage provided by?

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* 10. Which company is your insurance coverage provided by?

Does your family use a flexible spending account (FSA) or health savings account (HSA) for healthcare costs?

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* 11. Does your family use a flexible spending account (FSA) or health savings account (HSA) for healthcare costs?

As you may know, our clinic offers skill-based classes on specific topics. These classes are approximately 4-6 weeks long and cost an average of $60 per class. If a skill-based class is offered on my specific diagnosis or concern, I would attend this class.

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* 12. As you may know, our clinic offers skill-based classes on specific topics. These classes are approximately 4-6 weeks long and cost an average of $60 per class. If a skill-based class is offered on my specific diagnosis or concern, I would attend this class.

What are barriers that would keep you from attending a skill based class?

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* 13. What are barriers that would keep you from attending a skill based class?

Please rank in order of importance the barriers impeding your willingness to attend classes (1=greatest barrier and 5=hardly a barrier).

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* 14. Please rank in order of importance the barriers impeding your willingness to attend classes (1=greatest barrier and 5=hardly a barrier).

If a trainee was available for individual treatment, with no wait or minimal wait, would you be open to working with a trainee?

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* 15. If a trainee was available for individual treatment, with no wait or minimal wait, would you be open to working with a trainee?

Please rank in order of importance the barriers impeding your willingness to work with a trainee (1=greatest barrier and 4=hardly a barrier)

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* 16. Please rank in order of importance the barriers impeding your willingness to work with a trainee (1=greatest barrier and 4=hardly a barrier)

What are reasons you WOULD be interested in treatment by a trainee? Select all that apply.

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* 17. What are reasons you WOULD be interested in treatment by a trainee? Select all that apply.

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