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What is your primary reason or goal for today's visit?
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Below is a list of common concerns that lead people to seek professional assistance. Please tick all that apply to you.
Anxiety / Stress
Insomnia
Chronic Pain
Depression
Weight Issues
Surgical Issues
General Fears
Lack of Motivation
Low Self Esteem
Phobic Reactions
Relationship Issues
Smoking
Sports Performance
Alcohol / Drug Use
Test Anxiety
Unwanted Habits
Goal Setting
