What qualities or approach do you prefer in a therapist? (Select all that apply. If any.)*
Symptoms you are experiencing*
Do you currently feel that you don't want to live?*
Do you feel hopeless and/or worthless?
Have you ever tried to kill or harm yourself before?
Has anyone in your family been diagnosed with or treated for:*
Do you exercise regularly?
What best describes your family or household structure?*
Have you ever been arrested?*
Choose date and time of the session*
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