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First Name
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What is your availability?
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Mon, Wed or Thurs 830-4
Tuesdays 1- 830 (limited evening spots available)
I am not available at these times
I am not sure about my availability
What is your preferred therapy platform?
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In-person
Virtual (video or call)
A mix of in-person & virtual
I am not sure yet
Why are you seeking therapy at this time?
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