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Emotional Survey
Name:
*
Today's date:
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What do you do for fun?
What things did you used to do for fun that you don't do anymore?
Are there people in your life you can confide in?
Yes
No
Who?
Is religion or spirituality important to you?
Yes
No
How is it important?
What does it do for you?
Is sex important to you?
Yes
No
How important is it?
What does it do for you?
How much do you feel in control of your life?
How much are you feeling worthy?
How much are you feeling hopeless?
What about?
How much energy and motivation do you have?
How much pleasure do you take in life?
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Home
|
|
Services
|
|
About me
|
|
FAQ
|
|
Fees
|
|
Contact me
|
|
Directions
|
|
Forms
|
|
Skills
|
|
For Counselors
|
|
Fun Stuff
|
|
Sex Test
|
|
Cartoons 1
|
|
Cartoons 2
|
|
Cartoons 3
|
|
Cartoons 4
|
|
Cartoons 5
|
|
Cartoons 6
|
|
Cartoons 7
|
|
Cartoons 8
|
|
Marketing
|
|
Links
|
|
Download
|