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Home Pros & Cons Parental Tips About Yourself E-Mail

 

About Yourself

 

 

TELL ME A LITTLE ABOUT YOURSELF

 

There are a few questions that I will need you to answer if you decide to allow me to counsel with you.  I will also ask you to give me a brief description of your concerns. 

Once you have done this, and sent your e-mail to me, I will reply as quickly as possible, and you will be given a full reply to your questions as we go along. 

 

 

  

NAME:
AGE:
MARITAL STATUS:
SEX:   Male            Female
CHILDREN:
OCCUPATION:
E-MAIL ADDRESS:

Please re-enter

e-mail address:

  

In the box below, please give a brief description of your concerns so that I will be better equipped to help you.