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Please fill out this short questionnaire to provide some background information about you and the issues you'd like to deal with in therapy. It would help us match you with the most suitable therapist for you. Your answers will also give this therapist a good starting point in getting to know you.

September 2023
Su
Mo
Tu
We
Th
Fr
Sa
27
28
29
30
31
1
2
3
4
5
6
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8
9
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Available Times
10:00 am
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