Therapy first session intake - Illustrated landing
A gentle intake for a first counselling session: what brings you, goals, support, safety check and practical preferences. A brand-colour landing page with a hero, illustrated background and a card for each section.
About 6 min to complete. mental health, therapy, counselling, intake, illustrated.
Use this templateQuestions in this template
- Name you would like us to use
- Phone
- What is bringing you to therapy?
- In your own words, what would you like help with?
- How have you been feeling this past week?
- Have you seen a therapist before?
- What helped, and what did not?
- In the past two weeks, have you had thoughts of harming yourself?
- If you are in danger right now, call your local emergency number. In the United States you can call or text 988 at any time.
- How would you prefer to meet?
Related templates
Welcome. Take your time.
Nothing here is a test. Share what feels useful and your therapist will take it from there.