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Hello 

Hello 

Starting your Counselling Journey 

Hello 

Have a seat and lets reflect on your relationship

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Relationship Reflection 

This form should take approximately 20 minutes to complete.​​

Please take a moment to get comfortable — perhaps make yourself a drink and find a quiet space. This is your opportunity to pause, reflect, and embark on a journey of reflection on your relationship.​ You’ll need to complete all sections before submitting your form.

SECTION 1 - Relationship History

This section helps us understand the history and context of your relationship you are reflecting on. Please answer the questions as accurately as possible. Please indicate how long you and your partner had/have spent in each form of relationship. Please enter 'N/A' if it does not apply.

Relationship Status ( tick all that apply):
What initially attracted you to your partner?
What is the pattern in your relationship health?":
What happened that first caused you to feel disillusioned with your partner?
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