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Page 1 of 4Client consultation formulaic ConsultationDate: / / Full Name: Date of Birth: Address: Home Phone: Business Phone: Cell Phone: Email address: Single: Yes No (please circle which one applies

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Single yes is a form/questionnaire that enables individuals to provide a confirmation or affirmative response to a specific question or statement.

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Individuals who are asked to confirm or agree to a specific question or statement may be required to file single yes.

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