Client Intake Questionnaire
If your need is urgent please text or call 1-800-601-0619 for an immediate response
If you require training please email
to schedule sessions
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Please tell us briefly about your problem
Please tell us the dates and locations that you think will require service
Please tell us the names, dates of birth, occupations, phone numbers, email addresses, vehicle descriptions, education, ethnic backgrounds, and physical addresses of the persons or businesses involved in your situation
Please tell us about other resources you have utilized to resolve your problem, and the results obtained
Please tell us about any security concerns, weapons, affiliations, associates, training, geographical differences, or family connections that may impact the processes utilized to resolve your problem
Please tell us what we should call you, and how to best get in touch
If you have something interesting or unique to share with us confidentially, or want to leave an anonymous tip about something of interest, please do so here
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