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Surveys
2013
June
C
Chelsea Williams
Chelsea Williams
0%
Exit Survey
Do you sleep well at night?
Do you feel the need to be in control?
Yes
No
Other
Overall, how would you describe your mood?
Great
Sad
Mad
Angry
Other
What do you see in your patient as you speak with her?
What brings you here?
What brings you here?
Yes
No
What is the problem from your viewpoint?
What is the problem from your viewpoint?
Good
Bad
Sad
Angry
Other
What makes the problem better?
If you could wave a magic wand, what positive changes would you make happen in your life?
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