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The following questions will provide us with a better understanding of your current situation and where you would like to take things in the future. By completing these optional questions you will help us be more prepared to maximize the value of our time together as we determine what programs and learning process will best help you develop the skills necessary to get you to the future you aspire to achieve. The more you give us the more we can give back. You may choose to answer some or all of these questions. This is completely optional. Whether or not we work together now or in the future, we promise that simply answering the questions will be a valuable process and a chance for you to take stock of your current situation and the future you would like to create. If we do get to work together we will use this information on your behalf, to the fullest. Your responses and our relationship will remain confidential.


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PO Box 1357, Woodstock NY 12498