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* 1. Age

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* 2. I was treated with respect by my counsellor.

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* 3. I was understood by my counsellor.

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* 4. I made positive changes in my life as a part of the counselling.

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* 5. My ability to manage stressors has increased as a result of the counselling.

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* 6. My communication skills have improves as a result of the counselling.

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* 7. My self care skills have improved as a result of the counselling.

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* 8. My capacity for healthy decision making has increased as a result of the counselling.

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* 9. Comments:

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