Intake - New Direction Life Management

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An intake helps me understand you and the problems you are struggling with so that our sessions are more productive. Please feel free to share all that you are comfortable writing down, and when we meet, we will get better acquainted.

Thank you,

Apryl

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With what would you like help?(Required)

Are you married, or do you have a significant other? If so, how is your relationship with them?

Do you have children? If so, please tell me about them.

Please share with me a time when you felt proud of yourself or excited about something you accomplished?

When you think about your childhood, do you feel it was healthy or unhealthy? Please give an example.

Have you ever felt so sad that you wanted to hurt yourself? Do you feel that way now?

Have you ever seen a counselor before or been in a hospital for any reason? Please tell me about it.

What are the top 3 things you would like to work on with me?

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New Direction Life Management

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Apryl

New Direction Life Management

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