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What is the primary help you want?
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Tell us about your relationship with your biological father
Tell us about your relationship with step fathers, step mothers and siblings
Were you adopted
At what age were you adopted
Have you had traumas in life that negatively impacted your life?
Have you been abused sexually
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no
If so, how has it impacted your life
Have you or your ancestors been involved in witchcraft (white or black)#yes#no
If so, who, what relationship and how did it affect you?
Have you or anyone in your family been members of Freemasonry, Eastern star or other secret societies? #yes#no
If yes, which organizations?
How many times have you been married? What are the names of your ex-spouses?
How many sexual partners have you had? Please name significant relationships.
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Medications that have been prescribed for you? Do you take this?
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Do you read your bible out loud?
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Do you attend church regularly?
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Do you spend time fellowshipping with Jesus talking with Him about your life, your concerns and your desires?
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Do you fellowship with other believers?
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If so, how do you fellowship with other believers?
Describe your support system?
How do you spend your leisure time?
What do you do when you feel fear, stress, or anxiety?
What crisis have you had to deal with?
What addictions do you want to overcome?
Thank you for taking the time to help us help you. We will use the answers to this survey to set a course in ministry. Your candor and honesty is most important for us to be able to help you. Our desire is to glorify the Lord Jesus Christ by doing the SUPERNATURAL works of Jesus.
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