Dr. Truth's Help Form

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Age Range Select One 14-21 22-30 31-40 41-50 51-65 66-99

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Description Of Your Problem:

Fill in this additional information to get more detailed advice from Dr.Truth

Indicate below which of your strongest desires you would like to label as a priority.

• I would like peace of mind
  
  Yes What I feel is stopping me from achieving this
  
  
  
• I want to get rid of my hangups.
  
  Yes What weakens me most:
  
  
  
• I want to gain confidence
  
  YesWhat makes me lack confidence (explain below)
  
  
  
  
• I want to chase out jealousies
  
  YesWhy I am jealous or envious of others (explain below)
  
  
  
• I want to be reunited with someone from whom I am seperated or have lost touch with
  YesWhy do you feel this person has left you physically or emotionally (explain below)
  
  
  
  
• I want to work on my relationship with this person
  
  YesNo
  Here is our history together and the history of our problems
  
  
  
  
• I want to keep the feelings of the one I am in love with
  YesWhy I feel this is threatened
  
  
  
  
• I want, at last, to find a positive path for my life
  YesNo
  
  
• I want to achieve my career objectives
  Here's what I'd like to be doing
  
  
  

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