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What is your budget for therapy?
Do you have a preference for the therapist's gender
Do you prefer a therapist with a specific specialization
What type of therapy approach to you prefer?
How did you hear about Shemesh Therapy?
Where are you originally from?
Where are you currently living?
What is your phone number?
'Please enter your phone number in international format (e.g., +972 52 123 4567)'
Would you be open to providing feedback after a few sessions to help us improve?
How old are you?
What best describes you?
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