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Being Caring vs Being a Pushover - INTAKE
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Name
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First Name
Last Name
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Email
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Phone Number
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(The phone number will be used to assign you to a Telegram group. You will not be receiving any calls. Please use the same phone number that you have used to register on Telegram. If you’re not sure, please open the app and double check. This is very important – otherwise, I will be able to add you to the group)
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4
Have you ever apologized for something even if you didn’t feel like you did anything wrong?
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Never – in fact, there have even been times when I knew I was wrong and still didn't want to be the one to apologize.
No – I strongly believe that whoever is wrong should be the one to apologize
Yes, all the time – I hate conflict and prefer to maintain harmony and good vibes.
Yes, but I definitely regretted it.
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5
If you have a close friend or loved one who’s making some questionable choices – partying too much, shopping to the point of going broke, constantly overindulging, etc. – which of the following best describes how you react?
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I let them be – it’s just not my place to tell them what to do with their life.
I let them be – what’s important to me is that they’re happy.
I try my best to understand their behavior – they’re probably just going through something and it’ll pass eventually.
I try to subtly bring up the subject and gently nudge them in the right direction.
I am a big believer in tough love – I always tell them what they need to hear, even when it might not be what they WANT to hear.
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6
How much do you agree with this statement: “Being a good friend or partner means accepting absolutely everything about someone – the good, the bad, and the ugly.”
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Strongly DISAGREE
Strongly AGREE
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7
Would you ever lie to cover up for someone else’s mistake?
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Yes, but only if it was something really small and not really all that important
Yes – I would do anything to protect the ones I care deeply about
Yes – if there was something at stake for me as well
No – it will only come back to bite me in the ass later on
No – everyone should be accountable for their actions
No – it’ll be better for them in the long run anyway
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8
If you met a good fairy, who offered to grant you one wish pertaining to self-improvement, what would that wish be?
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Is there anything else you feel is important for the therapist to know before we start the chat?
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