Counseling Questionnaire
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Name *
Age *
Email Address *
Phone Number *
City of Residence *
I feel anxious most of the time.
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I don't know why I cannot achieve the goals I have set.
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I feel like I have let people down.
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People have rejected me in the past.
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I would prefer to meet with a Counselor instead of my family members to assist me with these emotional needs.
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What questions do you have about Counseling?
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