Therapist Match
A successful counselling experience has to start with a good fit between you and your therapist - let us help you get matched.
First name
Last name
Preferred Pronouns
Select an option
She/her
He/Him
They/Them
Prefer not to answer
Email
Phone Number
Can we leave a voice mail?
Select an option
Yes
No
Any additional comments?
Who is the counselling for?
Myself
My child/youth
Myself and my Spouse
How old are you or the individual seeking counselling?
Tell us a bit about why you're reaching out (What are some of the issues you're currently struggling with and would like to work on? i.e.; relationship, trauma, family, grief, depression, anxiety, etc.)
What type of counselling are you looking for?
Individual Counselling
Child/Youth Counselling
Couple's Counselling
Family Counselling
Clinical Supervision
Life Coaching
Other
What type of personality do you (or you child/youth) get along best with? Do you get along best with people who are straight to the point, caring, soft spoken, loves to laugh, serious, funky, out of the box thinker, conservative, etc.?
If you have been to counselling before, what did you like most about your counsellor?
Preferred appointment days and times?
Monday to Friday (Mornings 8am-12pm)
Monday to Friday (Afternoons 12pm-4pm)
Monday to Friday (Evenings 4pm-8pm)
Saturdays (9am-5pm)
Who do you want to work with? If using benefits, please check to see what they will cover
Registered Clinical Counsellor - RCC ($140-$170 per session)
Registered Social Worker - RSW ($140-$170 per session)
Intern Therapist ($60-$80 per session)
Life Coach ($125 per session)
How did you hear about us?
If there is anything else we should know to help make a match, add it here!
Subscribe me to the mailing list and receive wellness tips!
Match Me!
Powered by