Private Practice Consulting | Supervised Clinical Practice | Mentoring Inquiry Form

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Name *

Pronouns *

Email *

Phone Number *

How Did You Hear About A Beautiful Soul Holistic Counseling? *

Current Clinical Status? *

What Service Are You Looking For? *

How Many Years Have You Been A Therapist? *

Are You Currently Operating Your Own Private Practice? *

What Is The Time Frame That You Are Looking To Own/Operate Your Private Practice? *

How Many Clients Per Week Do You Currently Have? *

What Is Your Desired Number of Clients Per Week? *

What Are Some Of Your Practice Goals? *

What Experience Do You Have With Marketing? *

What Is Your Desired Client Population To Work With? *

Do you currently have any certifications or advanced trainings? (Please list below) *

What Is Your Current Schedule? *

What Would Be Your Ideal Schedule? *

Are You Looking To Treat In-Person, Telehealth or Hybrid? *

What Are Your Top 3 Personal Core Beliefs? *

Please List These In Order Of Importance To You? (Build Your Caseload Quickly, Financial, Work-Life Balance, Specialization/Niche Practice) *

Are You Or Do You Plan On Accepting Health Insurance?

Please Save Your Resume To Google Drive and Share the Link With Us Below (Allow Access So We Can View) *

You can also email your resume to nicole@beautifulsoulcounseling.com

Do You Have Any Additional Questions? (Please Describe Below) *