Your Church Position/Title*:
Best Day(s) - hold control key to select more than one option:
Best Time(s) - hold control key to select more than one option:
When teletherapy ends and we are able to meet in person again, which location would you prefer to see your therapist at?
Preferred Location - hold control key to select more than one option:
Santa AnaCosta MesaLos AlamitosBreaTorrance/South Bay
Have you ever seen a therapist at CIFT? If yes, who did you see?
Tell us a little about your current challenge: