Intake – Part XIII Go backYour message has been sent Name(required) Warning Email(required) Warning Phone Warning 1. Do you have any addictions? If so, what kind? (Drugs, alcohol, smoking, eating, sex, TV, etc.) Warning 2. Did anybody else in your family (siblings, ancestors, etc.) have struggles with any addictions? If so, what? Who? Warning 3. Have you ever had, or currently have any sort of obsession over anything/anyone? Is so, what/who? Warning Warning. Submit Δ Like Loading...
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