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For more information or to schedule your Free half hour consultation,

contact Marjorie Gross, Holistic Therapist at (518) 862-1974 ext 95,

complete the form below, or email me directly at Therapist@nycap.rr.com

 

 PLEASE NOTE:  The more completely you fill in this form, the better I will be able to respond.

Name:
Your e-mail: (Required)
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Your address:
Age:

Gender:

Marital Status:

# of Children if any:

What issue has brought you to this website to seek counseling?

How long have you been dealing with this issue?  

On a scale of 1 to 10 with 10 being the worst -  How severely is this affecting your daily routine?

 

Have you seen a counselor prior to visiting this website? Why or why not??

 

If yes, what strategies were tried?

Did they work?

Why or why not??

 

What goals do you expect to achieve from therapy?

I would like to meet for a Free half hour consultation: 

I prefer to be contacted by: If you selected phone, the best time to call is:

 

Thank you for taking the time to complete this form and for visiting my site.

I will respond within 48 hours.

Marjorie

For more information or to schedule your Free half hour consultation, contact Marjorie Gross, Holistic Therapist at (518) 862-1974 ext 95, complete the form above, or email me directly at Therapist@nycap.rr.com

Contact Marjorie Gross

Directions to my office at Albany Life Works

Albany Lifeworks Center

200 Trillium Lane

Albany, NY 12203

518-862-1974 ext 95

therapist@nycap.rr.com

 

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