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Thank you for your interest in counseling through &Rise.
We look forward to serving you!
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What issues are you currently struggling with?*
Depression
Anxiety
Leaving an Abuser
Financial Abuse
Low Self Worth
Mental Health
Relationship Issues
Other
Are you a survivor or trauma or abuse?
Yes
No
Which services are you considering? (Check all that apply)
Support Groups
Counseling
Coaching
Professional Development
What prompted you to consider our help?
How did you originally hear about &Rise?*
Internet search (i.e. Google)
&Rise website, YouTube page, Instagram page
Social Media Post
Social Media Ad/Paid Ad
Friend/Family member
Networking Event
Guest Podcast - Jennifer was Interviewed
&Rise Referral Partner (i.e. divorce coach...)
&Rise Marketing Partner (i.e. other organizations that support women)
Referred by an &Rise Client/Word of Mouth
Eventbrite
Meetup
Other
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