Thank you so much for filling out this questionnaire, your feedback is EXTREMELY valuable. 


As a mom of 2, I get gets in the way, but life also sucks and we can use all the support we can.  I want to better understand the needs of moms in the area and learn more about what gets in the way from seeking help. 

Your answers will be kept confidential. 

Thanks so much and if you have any questions, please feel free to email me at

Have you ever been to a therapist?

What is most important to you when looking for a therapist? Rank in order (1 being "Most Important" to 4 being "Least Important"): Schedule, Fee, Gender, and Location

If you found the PERFECT therapist to help you acheive your goals, how long do you think it would take?
How much would you pay this PERFECT therapist?
Would you feel comfortable asking for a lower rate if your PERFECT therapist's rate was too high?

By submitting this form, you are agreeing to the terms and conditions of my website. ***Please also note that I am not asking for any personal information, therefore, I will not be able to respond to you directly. If you need help, please seek professional help, we are here to help you!

Thanks for submitting!