Daybreak Health application questions — all 39, word for word
Daybreak Health hires through Greenhouse. Beyond name, email and CV, its application form asks 39 questions, 31 of them required. None of them is a required, fixed-choice question about your eligibility to work. A cover letter is optional.
25 roles were open when this was last checked, mostly in healthcare and people. The questions below are the form's own wording, not a paraphrase.
What Daybreak Health has open
These are the roles the form was read from, as Daybreak Health titles them, in California (Remote), Remote - Illinois, Remote US Nationwide, Washington:
- Associate Therapist (LSW/LPC) — Bilingual Spanish/English | Remote | Chicago
- Bilingual Associate Therapist (APC) — Spanish/English | Remote |
- Bilingual Georgia Therapist
- Bilingual Therapist — LMHCA or LCSWA | Spanish/English | Remote
- LCSW, LPC, LMFT - Remote, Spanish Required, up to $85/hour
- LMHCA or LCSWA | Spanish/English | Remote - Supervision provided! Work with students!
- Licensed Therapist (LCSW, LPCC, LMFT) - $75-$95/Session
- Licensed Therapist (LCSW, LPCC, LMFT) - $75-$95/Session, Work with Youth
- Licensed Therapist (LCSW, LPCC, LMFT) - $75-$95/Session, Work with Youth and Adults!
- On-Site Mental Health Therapist (1099, Fee-for-Service, Full-Time Hours)
- Remote Mental Health Therapist – LCSW/LPCC/LMFT/LP (1099, California)
- Remote Therapist — LMFT, LMHC, or LICSW | $75–115/hr | Part-Time 1099
35 of the questions below are ones at most two of the 212 employers measured ask (median: 13), the least standard being “Do you have a reliable high-speed Internet connection (minimum 10 Mbps download/5 Mbps upload) and appropriate equipment (computer, webcam, microphone, headphones) to conduct professional video therapy sessions? Please note that a stable internet connection is essential for providing uninterrupted care to our clients.”.
Every question on the form
| Question | Type | Required |
|---|---|---|
| First Name | text | Yes |
| Last Name | text | Yes |
| Preferred First Name | text | No |
| text | Yes | |
| Phone | text | Yes |
| Resume/CV | file | Yes |
| Cover Letter | file | No |
| What license do you hold? | text | Yes |
| How many hours have you accrued toward licensure? 0-500, 501-750, 751-1,000, 1,001-1,500, 1,501-2,000, 2,000+ |
select | Yes |
| Are you bilingual spanish? | text | Yes |
| Do you have clinical experience with 5-19 year olds? Yes, No |
select | Yes |
| Do you have telehealth experience? Yes, No |
select | Yes |
| Do you have expeirence diagnosing independently? Yes, No |
select | Yes |
| Are you licensed in IL? | text | Yes |
| When do you anticipate qualifying for your independent license? | text | Yes |
| Do you have clinical expeirence with children ages 5-19? Yes, No |
select | Yes |
| Do you have experience diagnosing independently? Yes, No |
select | Yes |
| Are you bilingual? If so, in what language(s)? | text | Yes |
| Please list your active license type below. | text | Yes |
| Are you licensed in Georgia? Yes, No |
select | Yes |
| Are you fluent in any language(s) outside from English? | text | Yes |
| Are you currently licensed in Georgia? Yes, No |
select | Yes |
| Are you bilingual? If so, in what languages? | text | Yes |
| Can you work our primary hours? Yes, No |
select | Yes |
| Are you licensed in North Carolina? | text | Yes |
| When do you anticapte qualifying for your independent license? | text | Yes |
| Do you have clinical experience with children ages 5-19? Yes, No |
select | Yes |
| Are you licensed in GA? Yes, No |
select | Yes |
| Are you bilingual? If so, in what language (s)? | text | Yes |
| Do you currently hold an independent clinical license (e.g., LCSW, LPC, LMFT, Licensed Psychologist) in California that allows you to practice without any supervision requirements? Yes, No |
select | Yes |
| Please select all languages in which you are professionally fluent enough to provide comprehensive, independent clinical therapy: English, Spanish, Arabic, Chinese, Vietnamese, Tagalog (+3 more) |
multiselect | Yes |
| Do you have a reliable high-speed Internet connection (minimum 10 Mbps download/5 Mbps upload) and appropriate equipment (computer, webcam, microphone, headphones) to conduct professional video therapy sessions? Please note that a stable internet connection is essential for providing uninterrupted care to our clients. Yes, No |
select | Yes |
| Do you have at least 6 months of experience providing teletherapy services, diagnosing, treatment planning, and working in an independent functioning capacity? Yes, No |
select | Yes |
| How would you describe your gender identity? (mark all that apply) | text | No |
| How would you describe your racial/ethnic background? (mark all that apply) | text | No |
| How would you describe your sexual orientation? (mark all that apply) | text | No |
| Do you identify as transgender? (select one) | text | No |
| Do you have a disability or chronic condition (physical, visual, auditory, cognitive, mental, emotional, or other) that substantially limits one or more of your major life activities, including mobility, communication (seeing, hearing, speaking), and learning? (select one) | text | No |
| Are you a veteran or active member of the United States Armed Forces? (select one) | text | No |
| Do you have experience providing teletherapy to adolescents? Yes, No |
select | Yes |
| Can you provide therapy in another language? If so, what language? | text | Yes |
| Does our recruitment team have permission to reach out to you with updates regarding your application via text? Yes, No |
select | Yes |
| Are you licensed in California? This role is only eligible for fully licensed California clinicians. Yes, No |
select | Yes |
| Please share your license number below: | text | Yes |
| Are you bilingual? If so, which languages do you speak? | text | No |
What it's really asking about
Grouped by what each question is for, so you can prepare the answers that repeat across employers.
| Topic | Questions |
|---|---|
| Other | 12 |
| Education | 7 |
| Language proficiency | 7 |
| Role-specific screening | 6 |
| Voluntary diversity questions (EEOC) | 6 |
| Years of experience | 1 |
What other employers ask
The same question rarely comes out the same way twice. These employers' forms are measured the same way, from their own job boards:
Gitlab · Gocardless · Gofundme · Grafana · Harness · Headspace
Before you apply
Have the answers to the required questions ready before you open the form — Daybreak Health's asks for 31 of them, and Greenhouse does not save a partial application by default.