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Welcome:
You are invited to fill in the client information form. Filling in the client information will help us to get an impression of your help question. This will make the process more effective to help you reach your goals. It will take approximately 5 minutes to complete the form. There are no foreseeable risks associated with this form. However, if you feel uncomfortable answering any questions, you can withdraw at any point. It is very important for us to learn your motives for looking for help.
Your form responses will be strictly confidential and data from this form will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the form or the procedures, you may contact Mon-Ying Schoop-Lau at +59995266642 or by email at the email address specified below.
Thank you very much for your time and support. Please start filling in the form now by clicking on the Continue button below. |
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