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Back to the Office Survey
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Indicates required field
Initials
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First
Last
1. As vaccines are more widely available, what type of therapy sessions are you interested in?
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I'm ready to do IN PERSON sessions at the office
I'm NOT ready, ONLINE ONLY
I'm interested in a HYBRID of in person and online sessions
I'm not sure yet
It depends
I'm from outside the Twin Cities, I'll continue to be ONLINE ONLY
Explain more about your choice on question #1: (Please provide as much information as possible)
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2. If you would like to do IN PERSON sessions, would you be willing to wear a face mask during your therapy session
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Yes
No
Unsure
3. Would you prefer a plexiglass barrier instead of face masks?
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Yes
No
Unsure
Explain more about your choice on question #2 and #3: (Please provide as much information as possible)
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What other comments/concerns do you have about in person/online sessions & safety in the office:
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Submit
**Please note that email is not a secure and confidential form of communication. Please do not include private/confidential information.
Home
About
Services, Insurance, Payment
Good Faith Estimate
Forms
Resources
Resource Links
>
Local Resources
Hotlines and Text Support
Websites & Apps
Race and Equity
Mental Health Advocacy
Eating Disorders
Contact Us
Blog
Make a Payment