Client Session Preference Information Form
Help us understand your preferences so we can tailor your sessions to your needs.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Session Type
*
In-person
Online (Video Call)
Phone Call
Other
Preferred Days for Sessions
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Other
Preferred Time of Day
*
Morning
Afternoon
Evening
Other
Preferred Communication Method
*
Email
Phone
Text/SMS
Video Call Platform (Zoom, Teams, etc.)
Other
Session Location Preference (if in-person)
At provider's office
At client's home
Other location
What are your main goals or expectations for these sessions?
*
Please let us know if you have any accessibility needs or special requirements for your sessions.
Have you participated in similar sessions before?
Yes
No
Is there anything else you would like us to know to make your sessions more comfortable or effective?
Submit Preferences
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