Dr. Amy: Ask Dr. Amy


	homeabout dr. amyask dr. amyservicestopicsmedia roommessage board
	Helping People Get The Most Out of Living

Do you have a question or experience you would like to share with Dr. Amy? Simply complete the form below.

You may not get a personal response, as responding to all of requests we receive is not possible. However, Dr. Amy does post on the Message Board responses to issues of common and current interest. So, please check back often.

Name:

Address:

City: State: Zip:

Phone: ( ) - Fax: ( ) -

Email:

Are you with a partner? yes no

If yes, how long?

Occupation:

Age:

Sex: male female

Children Age(s):

Topics of interest to you:

Have you seen a therapist before? yes no

If so, how was the experience? positive negative

Comments:

Do you have a question for Dr. Amy?