Pathways to Success (PTS)

Counseling & Support Interest Questionnaire

Thank you for reaching out to Pathways to Success. We believe that meaningful change begins with understanding where you are, what you are experiencing, and the relationships that shape your life.

This brief questionnaire will help us understand what type of support you are seeking and connect you with the appropriate PTS service.

Question 1

What type of support are you seeking? Please select the area that best describes what you are looking for:

Question 2

What brings you to PTS at this time? Please briefly describe what you are currently experiencing or what you would like support with.

Question 3

Which area of your life would you most like to develop?

Question 4

What are you hoping to gain from your time with PTS?

Question 5

What type of support are you interested in?

Question 6

How would you prefer to meet?

Question 7

How did you hear about Pathways to Success?

Question 8

Please provide your contact information

Preferred method of contact

Question 9

Is there anything else you would like us to know before we contact you?

What Happens Next?

Once we receive your questionnaire, a member of the PTS team will review your responses and contact you regarding the next appropriate step.

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