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Paare

INTAKE

for couples

Please help me to help you by completing the intake information here. These forms are for assessment and preparation for our initial consultation.

I would like to ask you and your partner to fill in the information in the forms here without consulting each other on questions about the quality of the relationship or the perceived intensity of the psychological symptoms. It will take you about 15 minutes to complete all the forms.

So let’s get started:

EN - Couple intake - (#29)

Your name


 

E-mail link to your partner

If you would like me to send your partner a link to this page by email, you can let me know here:


When you click on Proceed, you will be redirected. Please be patient for a few moments. Please do not close the page.

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