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1
Name
First Name
Last Name
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2
Please enter the date of your next Convo.
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Date
Year
Month
Day
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3
First, what brings you to the convo? Tell us about your goals.
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4
Speaking of goals…how would you describe your own personal #familygoals? What do you dream of for your family?
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5
Who is in your family?
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6
What is one word you would use to describe your family?
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7
What made you choose that word?
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8
Do you have any special family rituals--things that your family does on a predictable basis (daily, weekly, monthly, annually) that make you feel close to one another?
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9
What stressors do you typically encounter as a family? Please include any ongoing challenges (we’ve all got them) as well as acute crises you’ve experienced?
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10
Does anyone in the family have current or recent mental health or physical health conditions under current treatment?
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11
What is a typical day like in your home?
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