
37923 W 12 Mile Rd, Suite C · Farmington Hills, MI 48331
Phone: 248.392.3733 · Call, Text & WhatsApp: 248.378.4133 · Fax: 1-888-313-4538
Couple Work · Confidential Intake
You've been doing this work for a while. This questionnaire is different from the one you filled in at the start. It isn't about going back to the beginning — it's about taking a clear-eyed look at where you are right now: what has shifted in you, how his recovery is actually showing up, and what you need as you consider the next phase of this work.
Note: This questionnaire uses "he/him" pronouns throughout to match your particular relationship. Please read it in the way that applies.
Saved automatically on this device — your answers stay here until you clear them.