AAalternative.com - All the Solutions for Problems with Alcohol
Dr. Marc Kern, Ph.D.
Over the last 30 years, I have helped thousands of people make an informed choice between alcohol and addiction recovery alternatives. My expertise is in non-12-step treatment for all types of addictions.
Marc F. Kern, Ph.D.

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15-minute Q&A Scheduling Form

Note About SPAM Filters
You may need to add qa@habitdoc.com to your approved senders list.
Note: Q&A Sessions are only available to US and Canada residents.

Step 1. Our Q&A Session is a 15-minute appointment where I can answer basic questions. This session is provided at no cost to you. In order to be of most use to you, I ask that you answer all of these questions thoughtfully in the questionnaire below. This will help you get the most out of our brief time together.

Step 2. Once you complete the questionnaire, click the "Submit Request" button to go to my online scheduler. Note: You will also receive an email with a link to the scheduler, as well as your answers on the questionnaire so you can refer to them when we talk.

Step 3. Once you arrive at the scheduler, Just select an available time on the schedule that works for you, and I will respond with an email to confirm your appointment.

Your information is safe with us. It will never be shared with anyone, for any reason, and you may request that it be removed from our database at anytime.
Name (real or pseudonym):
What's your single most important question about addiction?
How difficult has it been for you to find the answer to this question?
What is your primary addiction problem? Alcohol, drugs, sex, gambling, etc.
Associated Problems
Check all that apply.
Anxiety
Relationship
Legal
Medical
What would you say is the urgency of the problem?
Please enter a number from 1 to 10, with 1 being the least urgent, and 10 being the most urgent.
What would you say is the severity of the problem?
Please enter a number from 1 to 10, with 1 being the least severe, and 10 being the most severe.
Why were you searching for Addiction information today? What prompted you to sit down at the computer and start your search? (Be as detailed as possible)
What best defines your age? Under 18
18 to 24
25 to 29
30 to 39
40 to 49
50 to 59
60 to 69
70 to 79
80+
What is your gender? Male
Female
What search term did you use to find us today?
Is your call about your addiction or another's? Mine
Another
What is your relationship to the person you are calling about?
What is your occupation?
What is your marital/relationship status? Married
Single
Divorced
Long-term relationship
Widowed
Email Address
Confirm Email Address
Phone Number
Confirm Phone Number
Your time zone is important to the process of scheduling the appointment. Since Dr. Kern is in the Pacific Time Zone, selecting the correct time zone below with ensure that you and Dr. Kern will both have the correct local time scheduled.
Select Your Time Zone
I have read, understand, and fully agree to the terms of the Privacy, Confidentiality, and Treatment Policy. (See below)  Yes


Privacy and Confidentiality Policy

Privacy Statement
We are committed to maintaining your confidence and trust. We maintain the following privacy policy to protect personal information you provide.

Basic Confidentiality Policy
Where personal information is required for use of the website or in interacting with the Internet, it is our policy that information, such as your name, email address, postal address or telephone number, is considered private and confidential. The personal information you provide is stored in a secure location using industry-standard methods. These methods include requiring unique user names and passwords, secure connections, and restricting access authorization levels to only appropriate personnel. Personal information is accessible only by appropriate staff, and is used only for the purposes for which the information was originally provided, such as to reply to requests for information or to schedule appointments.

No Release of Information to Third Parties
Personal information collected as a function of this website will not be released to third parties except to further the original purpose for which you provide the information or if such release is required by law.

Compilation of Statistical Log Information
Statistical log information is used only for aggregate analyses. It is the only "passive" data method we use. It is a popular method used by most Web sites online today. It means that our web server records every time a computer accesses our server with the time, day, resource accessed, and resource referred by. No personally identifiable information can be extracted from this information. We regularly compile these statistics to measure the number of visitors to our website, the requests we receive for particular information on our website, and the Internet Protocol (IP) number that those requests come from. These statistics may be used by us to improve this website in an ongoing effort to provide better information and services to the public.

All data, except these statistical logs, require active participation on your part. If you visit our website and don't want to participate in consultation appointments or send us an email, we will not know anything personally identifiable about you.

If you indicate that you would like to receive future announcements and notices from us, your e-mail address will be added to the appropriate and confidential, in-house email list. If at any time you change your mind and would like to remove your name from any list or, if you wish to correct your personal information, please email us at .

Consultation Recording
We record consultations for the primary purpose of providing you, the client, with a record that is not memory-dependant. This allows you to focus fully on our time together. On occasion, we perform aggregate analysis on these sessions. This analysis is performed for the purpose of providing better information and services to the public. When possible, these recordings are removed of any personal information that would identify the client. When personal information filtering is not possible to perform aggregate analysis, any personnel retained to perform analysis are required to agree to and adhere to the same stringent standards of confidentiality and identity protection contained herein.

Choices and Consent
We will only use the information you provide us for the intended purpose. We never place people on a mailing list or contact people for marketing or other purposes. We never share the information we collect on this website with other third-parties.

While I (Dr. Marc F. Kern) am a licensed clinical psychologist and addictions specialist, the Bridging and Q&A sessions are not psychotherapy. The Bridging and Q&A Sessions are coaching sessions. They do not involve the diagnosis or treatment of mental disorders as defined by the American Psychological Association. No treatment plan will be developed as part of the Bridging or Q&A sessions.

The foregoing policies are effective as of August 1, 2007. Dr. Marc F. Kern reserves the right to change this policy at any time by notifying users of the existence of a new privacy statement. This statement and the policies outlined herein are not intended to and do not create any contractual or other legal rights in or on behalf of any party.



More information...

Dr. Kern Can Help You With Problem Behaviors:
Alcohol... Pills...Marijuana... Opiates... Cocaine... Tranquilizers... Methamphetamines... Speed... Pain Medication... Sleep Meds... Associated Life Problems... Eating Disorders... Gambling... Internet/Computer... Pornography... Marital Issues... Getting a loved one into treatment... Anxiety... Depression... Procrastination...


Contemporary Addiction Recovery Guidance and Treatment