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COUPLES QUESTIONNAIRE:

Thank you for taking the time to fill out the following couples questionnaire.  Your answers are confidential between your therapist & you and will be sent to your therapist on a secure HIPAA compliant platform.  
 

My relationship status is currently:
As you think about the primary reason that brings you to counseling, how would you rate its frequency and your overall level of concern at this point in time?

​© 2020 by McNamara Counseling

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