Detail 1

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Name

First Name

Last Name

Desired impact of therapy

If therapy worked perfectly, what changes would you like to see in your life?

What made you decide to start therapy now? And why IFS with Alessio?

Have you been to therapy before? If yes, what worked for you and what didn't?

Are there any circumstances that might interfere with the therapeutic process?

For example financial pressure, big changes (relationships, family, work, moving country, medical issues, etc.), no private space for therapy...

Detail 2

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Detail 3

Maecenas non leo laoreet, condimentum lorem nec, vulputate massa. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae. Nulla lectus ante, consequat et ex eget, feugiat tincidunt metus. Sed a ligula quis sapien lacinia egestas. Vivamus a ante congue, porta nunc nec, hendrerit turpis. Suspendisse nec congue purus.