Will your partner be joining you in therapy?
Yes (couples therapy)
No (individual therapy)
Not sure yet (decide later)
How it works
Complete our questionnaire
Invite your partner (optional)
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What is your gender identity?
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How old are you?
What is your relationship status?
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Do you currently live with your partner?
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Is domestic violence currently an issue in your relationship?
*
Yes
No
Sometimes
Have you ever been in therapy before?
*
Yes
No
What led you to consider couples therapy today?
*
Improve our communication
Decide whether we should separate
Resolve conflicts and disagreements
Overcome Adultery
Understand my partner better
Understand myself better
Get to a more fair workload
Reduce tension
Prevent seperation or divorce
Stop hurting each other
Win back my partner's love
Love my partner again
Discuss issues around raising kids
Improve our sex and intimacy
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 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
I want to improve myself but I don’t know where to start
Recommended to me (friend, family, doctor)
Just exploring
Other
What are your expectations from your therapist? A therapist who...
Listens
Explores my past
Teaches me new skills
Challenges my beliefs
Assigns me homework
Guides me to set goals
Proactively checks in with me
Other
I don’t know
How would you rate your current financial status?
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Who referred you to India Therapist?
*
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Which state are you in?
What is your preferred therapy language?
English
Hindi
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First Name
Last Name
Email
*
WhatsApp number
*
What is your partner's first name?
Would you like us to invite your partner?
*
Yes
No
What is your partner's email?
What is your partner's WhatsApp number? (optional)
What experience do you prefer your therapist to have?
*
Depression
Stress and anxiety
Coping with addictions
Relationship issues
Family conflicts
Trauma and abuse
Coping with grief and loss
Intimacy related issues
Eating disorders
Sleeping disorders
Parenting issues
Motivation, self esteem, and confidence
Anger management
Career difficulties
Bipolar disorder
Coping with life changes
Executive and professional coaching
LGBTQ+ related issues
Compassion fatigue
Concentration, memory and focus (ADHD)
Are there any other focus areas that interest you?
*
Communication problems
Life purpose
Isolation / loneliness
Self-love
Social anxiety and phobia
Guilt and shame
Post-traumatic stress
Panic disorder and panic attacks
Control issues
Forgiveness
Caregiver issues and stress
Pregnancy and childbirth
Divorce and separation
Attachment issues
Abandonment
Body image
Mood disorders
Impulsivity
Workplace issues
Money and financial issues
Chronic pain, illness, and disability
Women's issues
Men's issues
Sexuality
Midlife crisis
Narcissism
What brings you here?