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在愛情中你愛自己了嗎？
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姓名
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性別
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女
男
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系級
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如：四餐二1
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學號
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從哪知道活動訊息
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海報
導師/輔導股長宣傳
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是否需要公假
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是
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手機號碼
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參加動機
遇到什麼狀況會想要來聽聽看這講座呢？
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對講座的期待
希望心理師可以多講些什麼？或是能幫忙解決怎樣的問題？
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有其他想對心理師說的嗎？
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