May 2026 Resource Survey

Hello,

I am so glad you are part of my practice.
This survey is to gather information about what kinds of resources would feel good to you to have lined up for May, 2026, when I will be out of the office and out of the country, walking along the Camino de Santiago / Chemins de St Jacques and visiting family in France / Switzerland.

PLEASE COMPLETE THIS SURVEY BY FRIDAY APRIL 11, 2025, if possible. Thank you!

With every good wish,
Julie

What would feel good:

I would like (please check all that apply): *

to pre-schedule appointments with a particular therapist (please see below to provide more information) to have a list of therapists I can reach out to as / when I need to (I will provide this to all of my clients) a safety plan I can follow on my own a treatment plan I can follow on my own I think I'll be fine with some time off from therapy other (please use space below)

please use the space below to describe any additional / other resources you would like to prepare for May 2026: *

More information:

If you would like to pre-schedule appointments with a specific therapist, please check factors that are important to you *

in person via telehealth takes my insurance some other quality (please use space below)

please use the space below to describe any additional / other qualities that would be helpful to you in a therapist for May 2026: *

​Julie Püttgen ​Expressive & Somatic Therapies, PLLC