Your Consultation Questionnaire

In preparation for your Dynamic Emotional Integration® consultation, please fill out and return this questionnaire to me.

As you answer these questions, treat them as a snapshot of your current situation, behavior, skills, challenges, and resources — so that we can focus clearly on your present-day situation.

The information you provide below will help me understand your current emotional strengths and challenges, the current socio-emotional situations you’re dealing with, and the supportive resources you have in your life.

Your information — here and in your consultation — will remain confidential.


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