First Name
Last Name
Email
*
What population do you work with most (ie., children, teens, families, child protection or welfare)?
What is your educational background and highest degree accomplished (ie., BSW/MSW; MA in Counselling, Ph.D. in Clinical Psychology)?
What is your professional certification, regulation, or licensure for practice? What is the name of your college or board?
How many years of experience after graduation do you have?
Still a student
0-2 Years
2-5 Years
5-10 Years
10+ Years
Do you have liability insurance for practice or are you covered on an employer's policy?
I'm covered by my employer's insurance.
I have my own liability insurance for my practice.
No. I don't have liability coverage.
What setting do you currently practice in?
Private Practice
Agency
Child Welfare or Protection
College or University
Other
What are your goals related to being an Intergenerational Trauma Specialist?
What gets in the way of meeting your goals in providing intergenerational trauma therapy?
Are you ready to invest the time and cost in being an Intergenerational Trauma Specialist and maintaining this credential?
YES! And I want to learn more about being an Intergenerational Trauma Specialist!
Yes...but I'm not sure and I'd like more information.
Not yet, but I want to.
Who are the decision makers to decide how much money to invest in your business and marketing?
Me, myself and I :)
A supervisior and I
A business partner and I
