Free Consultation Questionnaire

free consultation questionnaire

This questionnaire will simplify your path to overcome depression, anxieties, trauma, angers and addictions and get you on the fast track to recovery.

Complete and send to me

To begin there are three questions for you to answer in your own words.

And now answer these 16 questions. You can do that by clicking the score for each question in the appropriate space:
0 is NOT AT ALL
1 is OCCASIONALLY
2 is SOMETIMES
3 is OFTEN
4 is ALL THE TIME

When giving your answer, focus on how the last week has been.

Depression

Anxieties

Trauma, Patterns and Addictions

Your Life Now