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FILL OUT THIS QUESTIONNAIRE & HELP ME ASSESS YOUR NEEDS
Would you consider your issue:
Acute (Indentified Single Issue)
Chronic (Longterm Complex State)
Would you describe your Symptoms as:
How long have you been experiencing these symptoms?
Less than 1 year
1 - 5 years
6 - 10 Years
10 + Years
Are you aware of a specific experience or event which may have triggered your symptoms?
Are there other experiences in your past which may have impacted you emotionally?
What is your greatest fear in life?
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Trauma Healing Session
Anxiety Treatment Programme
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