Dr. Marie Kerns, Psy.D, LMFT  Counseling & Psychotherapy - 949-285-5199
Relationship Assessment
 
How do you answer the following:
 
1. I have to feel "needed" in order to be in a relationship.
    __ That's me
    __ Sometimes
    __ Rarely
    __ Not me at all
 
2. I think that all my problems would be solved if I could just get my partner to change.
    __ That's me
    __ Sometimes
    __ Rarely
    __ Not me at all
 
3. I feel responsible for my partner's feelings.
    __ That's me    
    __ Sometimes                  
    __ Rarely                  
    __ Not me at all
 
4. I would stop seeing my friends if my partner disapproved of them.                   
    __ That's me               
   __ Sometimes               
    __ Rarely                
    __ Not me at all
 
5. When I'm not in a relationship, I feel completely empty & insignificant.              
     __ That's me              
     __ Sometimes              
     __ Rarely              
     __ Not me at all
 
If you answered That's me, even one time, you may benefit from therapy. Do you have a question for me?  Or you may call me:
 
Relationship Questions for Dr. Marie Kerns
What I have been wondering about.
My phone number
My Name
My age
My City
EMAIL
When would like to begin to see results?
Marie Kerns, Psy.D  
Registered MFT Intern #53775
Clinical Supervisor: Jack Mayhall, PhD, Lic # MFC 33004  
Phone (949) 285-5199