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Individual 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 to therapy?


Question 2 of 13

Have you experienced therapy before?


Question 3 of 13

What do you hope to achieve from therapy?


Question 4 of 13

Do you have a preference for how you’d like to communicate with your therapist?


Question 5 of 13

Do you have a preference for your therapist’s gender?


Question 6 of 13

What’s your availability for sessions?


Question 7 of 13

Are there specific areas you want your therapist to focus on?


Question 8 of 13

Do you have concerns about starting therapy?


Question 9 of 13

Are you experiencing any physical symptoms related to emotional well-being?


Question 10 of 13

How do you usually cope with stress or challenges?


Question 11 of 13

Would you like help with setting goals or creating a plan for your progress?


Question 12 of 13

Are there specific situations or events you'd like to focus on during therapy?


Question 13 of 13

What type of therapy setting do you prefer?


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Your responses have been recorded.