Personalized Psychiatric Care Preferences Survey

What type of psychiatric services are you seeking?

Therapy Medication Management Holistic Approaches Telepsychiatry Custom Treatment Plan

What are your preferred therapy modalities?

Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Mindfulness-Based Therapy Psychodynamic Therapy Art or Music Therapy

Do you have a preference for the gender of your psychiatrist?

Male Female No preference

What languages would you like your care provider to speak?

English Spanish Mandarin French Other (specify)

How important is inclusivity and cultural competence in your psychiatric care?

Extremely important Somewhat important Neutral Not very important Not important at all

What do you value most in psychiatric care?

Personalized treatment plans Compassionate providers Flexible scheduling Integrated care approach Community support programs

All set, how can we reach you?

Name

Phone

Yes, I have read and agree to the Terms and Conditions. (Details here)

I would also like to receive more information (optional).

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Your preferences shape our inclusive psychiatric care solutions!