NUcoglab.net
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What is your Prolific ID number?
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Instructions
Suppose that you are looking for a counselor to help you with a mental health issue. Here is a description
of a therapist near you that you have found on a website. Please read the description carefully and answer
the questions below.
Description
Hi! I am a Licensed Mental Health Counselor. I have been in practice for 25 years. I am here
today to help you better yourself and reach your goals. In order for us to build the best counselor and
patient relationship, I would like us to get to know each other better. My pronouns are he/him/his.
Please let me know the pronouns you prefer to be addressed by. Together we will work to better
the situation or issues that brought you here today. I will help you navigate your emotions and behaviors
to the best of my ability. Overall we will work together to improve your mental health. We will meet and
make a plan to support your needs on this journey to better mental health for you.
Questions
Assuming you are going to make an appointment with this counselor, would you prefer it to be in-person or online (video-chat/phone call)?
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Online
In person
Please briefly explain your answer:
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Would you be comfortable meeting with this therapist?
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Yes
No
Do you think that your therapist has enough experience to help you?
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Yes
No
Have you ever sought mental health services before?
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Yes
No
Do you have reliable access to the internet in your daily life?
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Yes
No
What is your gender?
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Male
Female
Other
What is your age?
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For the therapist described above, what were your therapist's pronouns?
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she/her/hers
he/him/his
For the therapist described above, how many years of experience did your therapist have?
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25 years
7 years
For the therapist described above, is the therapist licensed?
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Yes
No
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