Help us match you to the right therapist

It's important to have a therapist who you can establish a personal connection with. The following questions are designed to match you to a licensed therapist based on your therapy needs and personal preferences.

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" Gender plays an important role in shaping personal identity and experiences. This information will help your therapist create a more personalized approach. "

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Did you know?
Almost a fifth of older adults in the United States have experienced depression. (Geriatric Mental Health Foundation, 2008)

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Your answer will help us match you to a suitable therapist as well as help your therapist create a treatment plan that respects your identity and experiences.

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We ask questions about religion so we can match you to a therapist who can empathize with your background.

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We helped more than 1,000 licensed and vetted professional therapists with different techniques and approaches.

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This is a preliminary question to understand what you are going through, you will have more opportunities to explain or elaborate on your feelings and challenges later on.

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Over the past 2 weeks, how often have you been bothered by any of the following problems:

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Over the past 2 weeks, how often have you been bothered by any of the following problems:

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The next few questions will help your therapist understand how you've been feeling and where to begin treatment.

Over the past 2 weeks, how often have you been bothered by any of the following problems:

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Over the past 2 weeks, how often have you been bothered by any of the following problems:

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Over the past 2 weeks, how often have you been bothered by any of the following problems:

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Over the past 2 weeks, how often have you been bothered by any of the following problems:

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Over the past 2 weeks, how often have you been bothered by any of the following problems:

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Over the past 2 weeks, how often have you been bothered by any of the following problems:

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Over the past 2 weeks, how often have you been bothered by any of the following problems:

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Some symptoms of panic attacks include a racing heart, dizziness, or chest pains.

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I prefer a therapist with
experience in....

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Additional focus
areas i prefer ...

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What brings you here?

Answering this question will help your therapist know where to begin ....

First Name

Last Name

Email Address

Phone Number

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

You've completed the questionnaire!