Emike Oyemade
Emike Oyemade
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Wise Walk Professional Counseling Services Evaluation Questions
Full Name
*
Email Address
*
Phone
*
Age
Marital Status
Employment Status
What Are You Seeking Counselling For?
How Long Has This Problem Been?
Have You Seen Another Counselor On This Same Issue Before?
Yes
No
Are You Seeking Christian Counseling or Strictly Professional Counseling?
seeking Christian Counseling
Strictly professional Counseling
Both
If Yes, What Went Wrong?
Are You Attending This Counseling Alone?
Yes
No
If You Have A Partner, Is The Partner A Spouse?
Yes
No
Is Your Partner Willing To Attend Sessions And Receive Counselling With You?
Yes
No
Do You Completely Give Your Consent To This Counseling Session?
Yes
No
State Your Expectations.
Submit
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