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Brief, Anonymous Survey

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* 1. Do you currently provide direct client care? (e.g., counseling, psychotherapy, assessment/evaluation, treatment planning)

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* 2. In what state(s) or province(s) are you licensed to practice? (check ALL that apply)

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* 3. In which profession(s) are you licensed? (check ALL that apply)

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* 4. What setting(s) do you work in? (check ALL that apply)

Please complete the following sentences with the response that is the best fit for you.

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* 5. During the COVID-19 pandemic, I have had ______ clients, referrals, or business as compared to usual.

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* 6. Because of an increase in referrals, I have... (check ALL that apply)

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* 7. I have reason to believe that clients in my geographical area are finding it hard to find a counselor/therapist.

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* 8. Because of an increase in workload, I am finding it difficult to see my clients as frequently as I/they would like.

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* 9. Prior to the pandemic, I provided telehealth services.

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* 10. Currently, I provide counseling/therapy...

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* 11. I would estimate that ___ percent of my sessions/appointments are conducted via telehealth.

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i We adjusted the number you entered based on the slider’s scale.

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* 12. Is there anything else that you want us to know about the above questions?

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