My Daily Therapy

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Onboarding

In the ever-changing field of psychology, we invite you to join us in the development of My Daily Therapy, designed to elevate the quality of care and support we offer to our valued users.

What is your Gender?

Woman

Man

Non Binary

Transfeminine

Transmasculine

Agender

I don't know

Prefer not to say

Other

How old are you? *

Select your age

How do you identify?

Straight

Gay

Lesbian

Bi or Pan

Prefer not to say

Questioning

Queer

Asexual

I don't know

Other

What is your relationship status?

Single

In a relationship

Married

Divorced

Widowed

Other

What led you to consider therapy today? *

I've been feeling depressed

I feel anxious or overwhelmed

My mood is interfering with my job/school performance

I struggle with building and maintaining relationships

I can't find purpose and meaning in my life

I am grieving

I have experienced trauma

i need to talk through a specific challenge

I want to gain self confidence

New choiceI want to improve myself but I don't know where to start

Recommended to me (friend, family, doctor)

Just exploring

Other

Have you ever experienced anxiety, panic attacks or have any phobias?

No

Yes

Are you currently taking any medication?

No

Yes

Any history of alcohol use?

No

Yes

Any history of marijuana use?

No

Yes

Which category describes you?

American Indian or Alaska Native

Asian

Black or African American

Hispanic, Latino or Spanish Origin

Middle Eastern

Native Hawaiian or Other Pacific Islander

White

Multiethnic

Other

How would you rate your current sleeping habits?

Good

Fair

Poor