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Single Session Pre-Questionnaire
Please take the time to fill out the information below.
First name
Last name
Email
Have you received services from All Things Counselling or any other services in the past?
Why have you come today?
How would you score your life today Where 0 is the worst and 10 is the best?
Choose an option
What would be the best thing that could happen during our session today?
What is the one problem that seems most important to work on now?
What would be the best thing that could happen during our session today?
Are you currently at any risk of harm to yourself or others?
Yes
No
What would someone like and respect about you if they took the time to really get to know you?
For us to be most helpful is there anything you feel that is important for me to know.
Submit
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