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Client questionnaire

Therapy is a process that takes a bit of time. I do, however, like efficiency and being straightforward with you. This questionnaire builds a bridge to better understand where you are coming from and how I can be of support. All work starts with a pre-session. The aim is to get to know each other a bit in order to understand if we can work together. Pre-sessions take 30 minutes and cost €60,00/£55,00. All other regular prices are found on the website.

What makes you interested in a session?

Personal development

Family dynamics, conflicts, parenting style

Relationship(s) and love

Sex and sexuality

Learning about emotions and "emotion regulation"

Other

If you want to describe your topic more precisely, please do so here:

Who would attend sessions?

I attend alone.

We are a couple.

We are a family.

Have you ever been to therapy?

If yes, what form of therapy did you try before and was it useful or not?

What kind of session or packages are you interested in? (Any of these options require a first session of getting to know each other).

Pre session

3 sessions

Between 5 and 10 sessions

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Package session as advertised on relationships, family, sexuality.

Would you like to do sessions online, at the Praxis or as a house visit?

When is your next availability for a pre session?

Please leave your name and preferred contact details (mail address and/or phone number) here for me to get in touch with you.

Payments for sessions need to arrive on my account 24 hours before a session starts. Payment is via bank transfer. Cancellation and refund is only possible 24 hours before the session starts. By signing below you confirm that you have read and agree with these conditions.

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