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This questionnaire is not meant to replace a personal conversation. However it will help us to get an overview of your life and the topics you wish to adress. Please fill in every field, that is not labeled „optional“. If you have already answerd one question just write „see above“. If you are not able or willing to answer a question please write it in the field. In the sense of protecting your data, please do not refer to any person by their name. Instead you can use the first letter of their name or refer to them as „my partner“,“my sister“ etc…

Questionnaire | Individual Therapy

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