Welcome and Thank you for your interest in Just Breathe! Teen Girls Therapy Group; for Girls experiencing depression/anxiety. Please take the next 5 mins to answer honestly and to the best of your ability
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What is the age group of your daughter


 
What is the primary concern you have for your daughter?

 
Which area of concern does your daughter belong


 
Has your daughter ever been diagnosed with depression or anxiety?

 
Please explain what you believe is the reason for the change in behavior? If unsure, please try to answer to the best of your ability

 
What are your daughter strengths? and areas of growth?

 
How will you know when things are getting better for your daughter? (what would this look like)

 
Are you willing to support your daughter during this process?

     
 
Is there anything else you feel is important for me to know regarding your daughter in order to consider her for the group?

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