Thank you. We would love the
opportunity to work with you.
Create your private account
we will not spam, rent, or sell your information...
Help us get to know you
Hello! My name is Connie, a Wellness Coach at Precipeace. We'll start off with some basic questions to make sure we are a great fit for you.
What is your gender?
How old are you?
18-24 years old
25-34 years old
35-44 years old
45-54 years old
55-64 years old
What type of support are you looking for?
For My Loved One
What is your relationship status?
In a relationship
Have you ever tried counseling or therapy before?
Are you currently taking any medication?
Are you currently in a crisis or have any plans to harm yourself or commit suicide?
What would you like to focus on with us?
Grief or Loss
What is the most meaningful outcome you want you to achieve?
Maintain Healthy Relationships
Be More Productive or Useful
Improve My Self-Esteem
Participate in Activities I Love
How did you find out about Precipeace?
A Friend or Family Member
Saw an Ad
Saw a Social Media Post
Read an Article or Blog
© 2018 Precipeace Inc.