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For My Child 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 your child to therapy?


Question 2 of 13

How old is your child?


Question 3 of 13

Has your child attended therapy before?


Question 4 of 13

What are you hoping to achieve from therapy for your child?


Question 5 of 13

Are there specific situations or changes your child is currently coping with?


Question 6 of 13

How does your child usually express their feelings?


Question 7 of 13

What’s your preferred format for therapy sessions?


Question 8 of 13

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


Question 9 of 13

What’s your availability for therapy sessions?


Question 10 of 13

Are there specific areas you’d like the therapist to focus on for your child?


Question 11 of 13

Do you or your child have concerns about starting therapy?


Question 12 of 13

Are there any physical symptoms your child is experiencing that might relate to emotional well-being?


Question 13 of 13

Would you like the therapist to involve you in the therapy process?


Thank you for completing the assessment!

Your responses have been recorded.