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Client Intake Questionnaire

Hi Folks, this is a quick form to understand your needs, vibes and pace. Accordingly we will help you get matched with a therapist. We will send you the options & you can start therapy at the right note!

For more details:

VISIT FOLKS WEBSITE

What kind of support do you think would help you best with your current problems?

Solution-Oriented

Self-Discovery

Strength and Motivational

Behavioural Management

Listener and Venting Out

Personality Development

Conflict Resolution

Relaxation and Mindfulness

Interpersonal/Social Dynamics

Select the languages you are comfortable taking therapy in

Hindi

English

Marathi

Gujarati

Tulu

Kannada

Kutchi

Other

What kind of personality traits do you prefer in your therapist?

Calm and Reassuring

Humorous & Extroverted

Direct & Analytical

Supportive & Encouraging

5. Understanding Your Concerns (Select all that apply)

Anxiety (Excessive Worry)

Persistent Sadness

Stress

Mood Swings

Intrusive Thoughts

Unhealthy Eating Habits

Attention Difficulties

Disruptive Personality Traits

Addiction Issues

Distorted Reality

Trauma or Past Distress

Sleep Problems

Gender Identity

Work Stress

Developmental Issues

Relationship Problems

Body Image

Dissociation

Existential Concerns

Parenting Struggles

Can you describe your concerns more in details?

On a scale of 1–5, how severe do you consider your mental health concerns to be?

How often have you felt nervous, anxious, or on edge in the past few weeks?

Not at all

Rarely

Sometimes

Often

Please enter your name

Please enter your email id

Please enter your contact number

Please enter your age

Please enter your gender

Male

Female

Non-binary

Prefer not to say

Do you have any preferred days?

FAQS

Please note all details provided by you remain confidential and used solely for the purpose of matching.