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Faith & Wellness Questionnaire

 I'm looking forward to our consultation.

Please complete this questionnaire, as we will review it during your consultation call. Your responses will assist me in gaining a better understanding of how I can effectively support you in reaching your objectives.

Are you currently working with a counselor or therapist?
Are you 18 years of age or older?

Individuals under the age of 18, require parental permission.

Donation
$10
$20
$30

While donations are not required, contributing to our program enables us to sustain and expand our services, benefiting individuals who may not have the means to access them otherwise.

© 2020 Love Her
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