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Name
Email
Patiend_ID
Gender(F/M)
Age
Qualification
Age

Answer YES or No for the following:

Emotional_Tension
Social_Isolation
Unloved?(yes/no)
Unattractive?
Self_Centered?
Over_Dependency
Short_tempered
Immaturity
Restlessness
Sleeplessness
Stress_in_family
Stress_at_work
Lack_of_education
Lack_of_security
Identity_Crisis
Sexual_Problems
Aged_Parents
Prolonged_Illness
Accident_Proneness
Excessive_Abesenteei
Alcohol_Dependence
Fincial_Difficulties
Dominating_Parents
Bad_Habits
Headaches
Dizziness
Stomach_Problems
No_Appetite
Feel_tensed
Tremors_and_ties
Depressed
Feel_Lonely
Sucidial_Ideas
Unable_to_relax
Inability_to_make_decision
Cannot_make_friends_
Concentration_diffic
Guilty_and_morally_w
Worrying_over_failur
Inablity_to_cope_up_
Failure_to_use_creat
Failure_to_Inentify_
Lack_of_physical_str
Lack_of_psycho_motor
changes_in_health_co
Changes_in_economic_
Unrealistic_love_nee
Inablity_to_express_
Inablity_to_accept_f
Inablity_to_accept_a
inablity_to_accept_r
Cannot_meet_social_e
Lack_of_Job_satisifa
Inablity_to_face_str
Inablity_to_face_a_c
Lack_of_flexibility_
Nagative_attitude_at
Unrealistic_self_con
Unrealistic_Marriage
Cannot_understand_op
Unrealistic_parental
cannot_do_anything_r
changes_in_job_respo
communication_proble
Lack_of_adjustments
full_of_regrets
Learning_difficulties
misunderstood
lack_of_motivation
changes_in_value
lack_of_confidence
Early/Late_marriage
Unrealistic_goals
High_fustration
Lack_of_competition
Lack_of_cooperation
Emotional_imbalance
lack_of_training
unhappy_childhood
peer_pressure
improper_aspiration
Disuse_of_potentials
Less_job_experience
Get_hurt_easily
Death_in_family
sickness_in_family
Horrible_thoughts
Nightmares
Shy_with_people
Fatigue
Memory_problems
worthless_stupid
Fears_anxiety
Aggressive
Frequent_Job_change
Job_complaints
Stammering
Negative_thinking
Handling_children