Let's Chat
About your website
Name
First Name
Last Name
Business Address (where you will be seeing clients)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Phone Number
-
Area Code
Phone Number
Email
example@example.com
Credentials
*
LPC-I*
LPC-S
LPC
NCC
MFT
LCDC
Other
*If you are an LPC-I, who is your supervisor?
Education
College & degree, graduate school & degree
Relevant experience
Ex. I want to work with kids and in the past I worked at a local child psychiatric hospital as a therapist.
Who is your ideal client?
Who do you want to site to speak to? Ex: Young women, around 25 trying to figure out life.
What do you want to specialize in?
Ex. Depression, anxiety, trauma, marriage
Why do you want to help people?
In your mind how does counseling help your ideal client?
Favorite quotes?
Favorite colors?
What images pop in your mind when you picture your counseling?
Ex: horses, waterfalls, children laughing, breathe, peace.
What feel do you want your site to have?
Professional
Modern
Clean
Fun
Bright
Dark
Light
Warm
Colorful
Do you have a logo?
Upload a File
No worries if you don't we will get you set up.
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Do you have a picture you would like me to include?
Upload a File
Jalea can take a headshot for you (at no additional cost) if you don't have one.
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Anything else you want me to know before I get started?
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