Building Your Private Practice WebsiteAre you a therapist or consultant who is looking to take your business to the next level? 88% of consumers will look online first before considering any products or services. An online presence helps market and add credibility to your services. If you are interested in building a website, I can help.0Full Name*1Email*2Address*office3Cell Phone*4Office Phone*5How would you like clients contact you?*Office PhoneCell PhoneText MessageEmailWebsiteOther6Do you have a domain name?*YesNo7What's your domain name?*8Site purpose9Why would you like a website?*10What would you like your clients to be able to do through your website?*Contact youAccess formsGet to know youLearn somethingLocate your officeBuy somethingAccess tools used in sessionUnderstand counselingUnderstand your approachPrepare for your first session11What would you like them to know about you?*Your credentialsEmployment historyTheoretical approachCounseling stylePresentation experienceTraining/Prof. DevelopmentSpecialty areasContact info12Other things to include:*Self-assessment toolsSocial media linksPrintable worksheetsLinks to helpful sitesBlogArticles13Is there anything else you would like to add ?*YesNo14What else would you like to include in your site?*15Your site's layout and appearance16Please select at least one main color and two accent colors to represent the ideal color scheme for your site. Need help deciding? Try this great online color palette selection tool: Click Here17Main Color 1*WhiteIvoryKhakiLemon YellowGolden YellowSaints GoldLight GreenLime GreenFluorescent LimeKelly GreenOlive GreenForest GreenBright TealTealLight BlueContact BlueRoyal BlueNavyVioletBright PurpleDark PurpleLight PinkFluorescent PinkMagentaOrangeTexas OrangeScarlet RedCardinal RedMaroonSienna BrownSilverGoldUltra Light GreyLight GreyDark GreyBlack18Main Color 2*WhiteIvoryKhakiLemon YellowGolden YellowSaints GoldLight GreenLime GreenFluorescent LimeKelly GreenOlive GreenForest GreenBright TealTealLight BlueContact BlueRoyal BlueNavyVioletBright PurpleDark PurpleLight PinkFluorescent PinkMagentaOrangeTexas OrangeScarlet RedCardinal RedMaroonSienna BrownSilverGoldUltra Light GreyLight GreyDark GreyBlack1920Accent Color 1*WhiteIvoryKhakiLemon YellowGolden YellowSaints GoldLight GreenLime GreenFluorescent LimeKelly GreenOlive GreenForest GreenBright TealTealLight BlueContact BlueRoyal BlueNavyVioletBright PurpleDark PurpleLight PinkFluorescent PinkMagentaOrangeTexas OrangeScarlet RedCardinal RedMaroonSienna BrownSilverGoldUltra Light GreyLight GreyDark GreyBlack21Accent Color 2*WhiteIvoryKhakiLemon YellowGolden YellowSaints GoldLight GreenLime GreenFluorescent LimeKelly GreenOlive GreenForest GreenBright TealTealLight BlueContact BlueRoyal BlueNavyVioletBright PurpleDark PurpleLight PinkFluorescent PinkMagentaOrangeTexas OrangeScarlet RedCardinal RedMaroonSienna BrownSilverGoldUltra Light GreyLight GreyDark GreyBlack2223Please upload any photos, logos, or artistic features that you would like to use on your site.242526Visual Elements*LogoSignature lineHeadshot of youPictures of your officeInspirational PhotoFeature Photos27Visual Elements*Upload28List any words that describe your site's "image".*Have you seen a website you like? Include the link below.29More about you30What are your credentials?*licenses, certificates, degrees31What are your specialty areas?*(Ex: populations, disorders, modalities)32How would you describe your counseling style?*33About the process34What can clients expect in your first session?*35What are your fees?*Indicate hourly fee or fees for specific modalities36Do you accept insurance?*YesNo37What insurance do you accept?*check all that applyBCBSAetnaCignaHumanaUHCAssurantTricareMedicareOther38Please upload any documents you would like to include on your site.*Patient intake formPoliciesProf. disclosure statementInformed consent formOther questionnairesWorksheets39Documents*Upload40Submit4142powered by FormCraft form builder
