Our online concierge will help us place you with the best Shift Therapist for your needs in your area
What is your first name? *

Thank you, {{answer_sAxBxhTOYXPD}}. What is your last name? *

What kind of therapy are you looking to do? *

What's your age? *

Gender *

Preference for Psychologist *

Appointment Time Preference *

Do you currently have a spouse or partner attending or that has attended counselling at Shift? *

You do? Awesome! Select all that apply.

Concerns(check all that apply) *

What is your current relationship status? *

Do you have children? *

At which phone number can we contact you? *

Which location do you prefer? *

Are you okay with dogs?

Are you okay with birds?

Quick Assessment

I would rather spend my unproductive time curled up with a book at home than out in the mountains adventuring with friends.

I take charge.

I prefer routine to variety.

I live by truth over comfort and like blunt honesty.

I choose my words with care.

I hate to seem pushy.

I try to follow the rules.

I am always on the go.

Thank you for taking the time to submit your detailed information. This will allow us to be most responsive to your needs and find you the perfect therapeutic fit with Shift.
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