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Mental Health Counseling Enquiry Form
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What kind of difficulties you are facing ?
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Academic
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In which area is affecting you ?
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Self
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Since when you are facing problem ?
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Less than one month
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Two weeks to 1 month
One two to 3 months
More than 6 months to 1 year
More than a year
According to you range your issue from ( 0-10)
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0 - 3 (Mild)
4 - 6 (Moderate)
7 - 10 (Severe)
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