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Therapy first session intake - One question at a time

A gentle intake for a first counselling session: what brings you, goals, support, safety check and practical preferences. One question at a time with photos beside some questions and a trail of what you have answered.

About 6 min to complete. mental health, therapy, counselling, intake, conversational.

Use this template

Questions in this template

  1. What name would you like us to use?
  2. Email
  3. Phone
  4. What is bringing you to therapy?
  5. What would you like help with?
  6. How have you been feeling this past week?
  7. Have you seen a therapist before?
  8. What helped, and what did not?
  9. In the past two weeks, have you had thoughts of harming yourself?
  10. 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.
  11. How would you prefer to meet?

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Green houseplants by a window

Hi. Let's start gently.

One question at a time, at your pace.
About 6 minutes
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