WANDA GARNER, M.S., M.A. | LICENSED MARRIAGE & FAMILY THERAPIST | CALL 858.404.0305
Specializing in Emotionally Focused Therapy (EFT), Couples & Relationship Therapy

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Assessment Form

*Required Question(s)
*Please check all that apply

Have you lost pleasure or satisfaction in life?

Yes

Are you down in the dumps?

Yes

Do you feel discouraged or hopeless?

Yes

Do you suffer from low self-esteem?

Yes

Do you struggle with fears that prevent you from leading the life you want?

Yes

Are you anxious?

Yes

Are you frustrated?

Yes

Are you angry?

Yes

Are you resentful?

Yes

Do you find your relationships are unsatisfactory?

Yes

Do you have trouble communicating?

Yes

Do you resolve arguments?

Yes

Are you or a loved one struggling with a chronic or terminal illness?

Yes

Are you a care giver?

Yes

Other?

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Wanda Garner, M.S., M.A., Licensed Marriage & Family Therapist

Phone: (858) 404-0305 E-mail: wanda@wandagarner.com

Improve your life today! Complimentary 20 minute phone consultation. CLICK HERE to fill out an assessment and I will call you to book a consultation.

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