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Couple Therapy
Instructions

Select the answer that best describes how you feel, think or behave.
Mark your answers based on your feeling, thinking or behaviour over the past 3-4 weeks.
And make sure to mark all answers.


Question 1 of 13

What brings you both to therapy?


Question 2 of 13

How long have you been together?


Question 3 of 13

Have you attended therapy as a couple before?


Question 4 of 13

What do you hope to achieve from couples therapy?


Question 5 of 13

Are there specific challenges you'd like to address in therapy?


Question 6 of 13

How do you currently handle conflicts?


Question 7 of 13

Do either of you have concerns about starting therapy?


Question 8 of 13

What’s your preferred format for therapy sessions?


Question 9 of 13

Do you have a preference for the therapist's gender?


Question 10 of 13

What’s your availability as a couple for sessions?


Question 11 of 13

Are there specific relationship strengths you'd like to build upon?


Question 12 of 13

How would you describe your communication style as a couple?


Question 13 of 13

Would you like help in setting shared goals or creating a plan for progress as a couple?


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Your responses have been recorded.