* 1. I have read approximately ___ books relating to Borderline Personality Disorder.

* 2. I (or my office) generally recommend the following books to patients/consumers dealing with Borderline Personality Disorder: [check all that apply]

"Putting The Pieces Together
A Practical Guide To Recovery From Borderline Personality Disorder"
~ by Joy A. Jensen

"Putting The Pieces Together<br>A Practical Guide To Recovery From Borderline Personality Disorder" <br>  ~ by Joy A. Jensen

* 3. I am requesting a review copy of "Putting the Pieces Together" for:

* 4. I (or my office) generally ______ refer patients/consumers to online self-help groups, discussion boards, forums, websites.

* 5. To where should the review copy of "Putting the Pieces Together" be sent?

* 6. I would like:

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