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Full name:
(required)
Practice e-mail address:
(required)
Practice telephone number:
If you have a physical office location, what is the address?
1. In a few sentences, describe the focus of your therapy and the main challenges you help clients overcome:
2. Are there any other specialty areas you also work with?
(Examples: Insomnia, Addiction, Relationship Issues, Grief, Life Transitions, etc.):
3. Therapeutic Modalities:
List the primary therapeutic approaches you use (and want featured on your website):
4. Describe your ideal client demographic.
Examples: Adults, Children, Adolescents, Couples, Families, LGBTQIA+ individuals, etc.:
5. What is your intended geographic range of service?
(e.g., local to a city/area, telehealth across the country?):
6. Please provide a brief professional bio here including education/credentials. If you don’t have one, we can help you craft one later:
7. What domain name (URL) would you like your website to have?
(e.g., www.benlamb.com; also please let me know here if you have already purchased a domain name):
8. How would you like potential clients to initially contact you?
(Examples: Phone call, Email, Contact form on website, Online scheduling platform, Other?):
9. Intake Process:
Do you have a particular intake process you’d like new clients to follow? (e.g., complete a questionnaire, schedule a free consultation):
10. Do you desire any special features on your website?
(e.g., forms, bookings, blog, e-commerce for services, etc.):
11. Do you have professional photos of yourself?
(If not, please start exploring your options for a photoshoot. We generally desire at least 2-3 high-quality images):
12. Do you have any logos, brochures, vision/mission statements, or other written content we can reference for branding/website copy?
13. Do you have any preferences for the color scheme or overall style of your website?
Feel free to share examples of websites you like:
Anything else? Please list any specific questions or concerns you have about the process:
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