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Personalized Support Starts Here

Personalized Support Starts Here

You’ve already taken a brave first step, thank you for being here.

Matching that’s personalized to your needs
Therapists with diverse specialties, backgrounds & languages
Safe, secure, and confidential
In-person and virtual sessions available

Let’s Get Started

This questionnaire takes just a few minutes to complete. Your information is kept secure and used only to support your care.

What type of therapy are you looking for?

Individual Therapy Couples Therapy Family Therapy Therapy for my child(ren) Other

What brings you here? (Check all that apply)

Addictions Anger Management Anxiety Career Guidance Chronic Pain Depression Divorce Eating Disorders Family Conflict Grief/Loss Hoarding Life Transitions Parenting Challenges Relationship Issues Self-Esteem Sleep and Insomnia Stress & Burnout Trauma/PTSD Weight Loss Workplace Stress Other

Do you have a gender preference for your therapist?

Male Female No Preference

Would you prefer a therapist who speaks a specific language?

English Arabic No Preference

Do you prefer in-person or virtual sessions?

In-Person Virtual No Preference

When are you available for sessions? (Select all that apply)

Monday (9 AM – 9 PM) Tuesday (9 AM – 9 PM) Wednesday (9 AM – 9 PM) Thursday (9 AM – 9 PM) Friday (9 AM – 5 PM) Saturday (virtual only, 9 AM – 5 PM)

What times work best for you? (Select all that apply)

Morning (9 AM - 12 PM)Tuesday (9 AM – 9 PM) Afternoon (12 PM - 5 PM)Thursday (9 AM – 9 PM) Evening (5 PM - 9 PM)

What times work best for you? (Select all that apply)

Morning (9 AM - 12 PM)Tuesday (9 AM – 9 PM) Afternoon (12 PM - 5 PM)Thursday (9 AM – 9 PM) Evening (5 PM - 9 PM)

Is there anything else you’d like us to know to help match you with the right therapist?

Let’s wrap up with a few final details.

How would you like us to contact you?

Phone Email No Preference

Your information is kept confidential and only used by our team to support your care.

That’s it! Thanks for sharing a bit about yourself. We'll take it from here and match you with a therapist who's just right for you.

Empowering Lives, Inspiring Hope.

Canadian Coptic Centre II 6341 Mississauga Road Mississauga, ON, L5N 1A5
[email protected]
(905) 214-7363
(905) 567-0027

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