Employment Questionnaire

Are you available to see clients at least 17 hours per week? *

Yes

No

Do you have previous private practice experience? *

Yes

No

Our practice is very collaborative. We focus on helping the community by way of marketing, networking and providing community speaking engagements. Are you comfortable with this? *

Yes

No

Which of these client populations do you work with? *

select all that apply

1-5 year olds

6-10 year olds

10-15 year olds

Couples

Families

Males

Females

LGBTQ+