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When choosing a therapist, do you have a gender preference?
Yes, I prefer a male therapist
Yes, I prefer a female therapist
I have no preference
I think that discussing my childhood will help me solve my problems
1 Completely Disagree
2 Disagree
3 Partly Agree
4 Agree
5 Completely Agree
I want my therapist to be a coach who helps me solve problems
1 Completely Disagree
2 Disagree
3 Partly Agree
4 Agree
5 Completely Agree
My problem involves a loved one, such as a spouse or child who could also benefit from my therapy sessions
1 Completely Disagree
2 Disagree
3 Partly Agree
4 Agree
5 Completely Agree
My therapist must be able to understand my feelings and get me
1 Completely Disagree
2 Disagree
3 Partly Agree
4 Agree
5 Completely Agree
I would like to discuss my dreams with my therapist
1 Completely Disagree
2 Disagree
3 Partly Agree
4 Agree
5 Completely Agree
I am interested in changing a feeling, such as anxiety, or changing a behavior, such as smoking
1 Completely Disagree
2 Disagree
3 Partly Agree
4 Agree
5 Completely Agree
Freedom and self-awareness are very important to me
1 Completely Disagree
2 Disagree
3 Partly Agree
4 Agree
5 Completely Agree
My problems come from issues outside my control such as my sex, race, ethnicity, education level, or socioeconomic status
1 Completely Disagree
2 Disagree
3 Partly Agree
4 Agree
5 Completely Agree
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