PLEASE COMPLETE THE FORM BELOW

EMAIL ADDRESS                    NAME

                         

                          

                 

         

    

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Negativity is a time bomb

SET OUT YOUR DETAILS

The Problem

symptoms,duration,

onset etc.

Your Characteristics

age,sex, marital status/ single,educational level, occupation etc.

General Health

Health problems,previous counseling, medication on, other drugs taken.

Family history

parents-one or two, together or separated, brothers/sisters, age position in the family, similar health problems inblood relatives, childhood background such as sexual abuse, critical / dominating / irresponsible parent etc.

Relationships

with spouse and your children

at work and job history

type of friends: a few close friends, many friends- but not close etc

Socialising

party goer, sports lover, television/movies, book worm, candle-light meals etc.

AUS  $70                             USA $ 60

UK $35                                 NZ   $ 70

YEN 4900

PRICES for each correspondence (30 to 60minutes)

 

 

 

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