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Before We Begin - Questionnaire

If you’re interested in working together, start by booking a 15 minute discovery call so we can see if we’re the right fit. Then please complete the questionnaire below.

Let's start with your personal details

1. Briefly describe why you are seeking therapy/counseling right now?

2. What days and times would suit you?

3. Have you had therapy/counseling before? If yes, describe what kind of therapy/counseling you had, when and how long it lasted, and how you experience the results.

4. a). A little about your background, to better understand your current situation. (Profession, parents, age)

4. b). If you have siblings, how many and where in the sibling group were you born?

5. Can you mention something about your childhood and your relationships with your parents or those you grew up with?

6. Can you say something about how you experienced your school days?

7. What is your professional situation? Employee, self-employed, student, unemployed, other?

8. Can you tell us something about your physical health? Have you had any serious illnesses or accidents during your life, including during childhood? Also include any long hospital stays.

9. Have you received treatment for depression or other mental health problems?

10. a). Marital status

10. b) Number of children: (If yes, gender and age of children):

11. Do you have any social support/social network?

12. Do you have any special interests or activities that are important to you at home, in connection with your work, or in your free time?

13. How do any difficulties you are currently experiencing affect your life in general?

14. What do you find meaningful/valuable in your life (today or in the future)?

15. In what way do you hope that therapy/counseling can be helpful to you?

16. Dreams (briefly describe if you have recurring dreams/dream themes):

17. a). "The world is..."

17. b). "People are..."

17. c). "I am..."

18. Are there any other important aspects of your life that you would like to briefly mention that were not covered by the questions in this form?

19. How did you find me?

I have read and accept the privacy policy.

Yes.