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Client questionnaire

Therapy is often a lot of wasted time on both sides. I like efficiency and being clear with you. This questionnaire is a first start for us to get there, to better understand where you're coming from and be more clear how I can be of support.

Why are you interested in a session?

Relationship issues

Family dynamics, conflict in the family

Personal development

Figuring out my sexuality

Learning about emotions and emotional regulation

Other

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

Who would attend sessions?

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

3 sessions

5 sessions

between 5 and 10 sessions

Untitled checkboxes field

Package session on sexuality, relationships, family and another topic of your choice.

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

When is your next availability for a pre session?

All work starts with a pre session where we get to know each other to understand if we can work together. Pre sessions take 30 minutes and cost 80,00 Euros. All other regular prices are found on the website. Payments need to arrive on my account 24 hours before a session starts. By signing below you confirm that you have read and agree with these conditions.

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