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Would you like to have a better support or more support available to you?
Yes No Maybe
      What other details would you like to share about your situation that will help us better understand your personal circumstances and more effectively help you? _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________
What subjects are you interested in
knowing more about? (Check all that apply)
What is the narcissist thinking?
Is it possible to get full closure?
How do I take my healing to the next level?
Do all narcissists know what they are doing?
How do I cope with flying monkeys?
What do I do regarding court?
What can I expect with Grayrock?
What strategies can help me cope more effectively?
How do I deal with what I am feeling right now?
Am I crazy?
How do I respond when the narcissist does this...
listeningactively
           Are people being tainted in their view of you? or Have you noticed you are being treated differently by friends, family or acquaintances?
Yes
No
Maybe (explain)
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    Are you interested in one on one coaching?
Yes No Maybe
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