Bel Esprit Psychotherapy & Consultation, LLC

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* 1. What is the type of work you most perform?

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* 2. How many times in the last 30 days did you have direct contact with our organization by way of telephone or direct, client-portal referral?

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* 3. In the last 30 days, how satisfied are you with our responsiveness to your calls or your direct contact with someone in our firm?

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* 4. Please describe how our firm might be of service to you/your organization’s need?

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* 5. If you are interested in receiving a call from our Owner, please type in your name, purpose of request, and your telephone number?

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