Questionnaire for patients of the Eurasian Center for Mental Health

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Dear patients!

This is a small questionnaire which we suggest you to fill in before contacting our clinic.

This questionnaire was prepared by our medical specialists in order to initially determine and evaluate your overall psychic condition and if there are any mental disorders. In case you not admitted for hospitalization to our clinic, we guarantee you a total confidentiality, and obliged to delete all your personal information.