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What is your reason for seeking care?

Anxiety Depression Stress Relationship issues-communication and/or intimacy Trauma Other

What mental health concerns or treatment have occurred in the past?

In therapy now In therapy in the past Taking psychiatric medication now Taken psychiatric medication in the past Hospitalized for mental health reasons now or recently Hospitalized for mental health reasons in the past Known neurologic or genetic disorder Attempted suicide in the past None of these apply

What are your goals for therapy?

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Happy our service resonated with you. What about this service made you sign up, as opposed to going elsewhere?

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