WELCOME!

Are you ready to begin your next chapter? We're honored to be your partner in this endeavor as you scale your business to the next level. Below, you'll find our onboarding form where you'll complete the following:

Describe key information for us to maximize performance
Provide both myself and your designated lead ads specialist with access to your FB Business Manager to grant us the ability to create & run ads

Just a gentle reminder, you won't be able to save your information before submitting the form so make sure you're ready to finish the form before starting!

Let's get you started.

What is your gender identity?

Select your age

How do you identify?

What is your relationship status?

Do you consider yourself to be a spiritual person?

No

Yes

Have you ever been in therapy before?

No

Yes

What led you to consider therapy today?

What are your expectations from your therapist? A therapist who...

Are you currently experiencing overwhelming sadness, grief, or depression?

Rate your energy level of the past 2 weeks (1-10)

If you are struggling with any sort of addiction, please describe your situation (enter "n/a" if not)

Feeling bad about yourself - or that you are a failure or have let yourself or your family down.

Trouble concentrating on things, such as reading the newspaper or watching television.

Thoughts that you would be better off dead or of hurting yourself in some way.

How difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?

Are you currently employeed?

No

Yes

Do you have any problems or worries about intimacy?

No

Yes

How often do you drink alcohol?

When was the last time you thought about suicide?

Are you currently experiencing anxiety, panic attacks or have any phobias?

No

Yes

Are you currently taking any medication?

No

Yes

Which state are you in?

What is your zip code?

Please mark all that apply

What type of care are you looking for?

ONBOARDING FORM

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FB BUSINESS MANAGER ACCESS

Follow the steps in the video below. Click below to open your Facebook Business Manager:

Open Facebook Business Manager

29 Lafayette Road, North Hampton, NH, 03862

(603) 397-9109