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Michael DiPaolo, Ph.D.

Clinical Psychologist

Certified Imago Relationship Therapist

Home
Services
Presentations
Media
Blog
FAQs
About
Contact
- Map and Directions
For Professionals
- Imago Consultation Group 3.0

Monthly Maintenance Questionnaire

Monthly Maintenance Questionnaire

Name*
Email*
Take time to reflect upon your marriage over the past month (or since your last session) & answer the following questions.
What has been going well in your marriage over the past month? What do you appreciate about your spouse?*
What challenges or stressors have you faced in your marriage over the past month?*
What would you like to focus on in your Monthly Maintenance session?*

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Michael DiPaolo, Ph.D.

1849 Sawtelle Blvd., Suite 540
Los Angeles, CA 90025
(310) 268-7792
Email

PSY16269

© Michael DiPaolo, Ph.D. All Rights Reserved.

Certified Imago Relationship Therapist

Internal Family Systems (IFS) Therapist