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What are your life controlling issues?
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Have you had any prior treatment or attended any other programs for these issues? If yes, provide the name of the facility and why you left.
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Are you a registered sex offender? If so, please explain and include any restrictions you have.
Have you been convicted of any violent crimes? If so, please explain.
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Do you have any diagnosed medical conditions? (Including STDs) If so, please explain.
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Have you been diagnosed with any mental health disorders? (bipolar, schizophrenia, etc.)
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Do you take any medications? How do you plan on paying for medication while at ABWM?
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Are you a Christian? If so, for how long and what denomination?
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Are you willing to be mandated by the courts?
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Are you willing to complete 18 months or more at staff discretion?
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Who do you admire most in life and why? What has been your most pivotal life experience? What do you hope to accomplish at A Better Way Ministries?
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