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