Your Therapist

Your therapist

Hello there

I’d love to understand a little about you first.

Let’s make sure I have your details right:

Name

there

Email

Phone

This is where you’ll receive your session links and reminders, so a quick look helps.

Your Therapist

Your therapist

Most people feel a bit unsure when they start something like this.

That’s okay. Let’s keep it simple.

Your Therapist

Your therapist

Almost everyone finds this part hard to put into words.

You don't have to. Just pick whatever feels close.

Your Therapist

Your therapist

So much of what we feel shows up in the small things, sleep, eating, the everyday.

Most people don't notice until someone asks.

Your Therapist

Your therapist

The real change comes gently, session by session, as you keep showing up.

So let me make sure this stays easy and within reach for you.

Your Therapist

Your therapist

Most people carry more alone than they let on.

One last, gentle question before we finish.

Step 1 of 5

Your Therapist

A little about you

First, the basics

Nothing heavy yet. I just like knowing who I’m talking to.

Date of birth

How should we refer to you?

Where are you based?

Which language are you most comfortable in?

Relationship status

Any pets at home?

Step 2 of 5

Your Therapist

What brings you here

What’s been bothering you these days?

Choose as many as you feel relevant. There’s no wrong way to answer this.

Is there anything you’d like me to know before we meet?

Even a few words help me understand where you’re starting from.

One gentle question before we go on

In the last two weeks, have you had any thoughts of harming yourself?

Thank you for telling me. That takes real courage, and I’m glad you did. You won’t carry this alone, and we’ll talk it through gently when we meet. If it ever feels like too much before then, please reach out to our Care Team any time.

Call our Care Team · +91 789 255 1372

Anyone close to you we can reach if needed? Required

Only ever if something feels urgent, never without telling you first.

Name

Relationship

Phone

What are you hoping for?

However small or big, it’s worth naming.

Step 3 of 5

Your Therapist

How you’ve been lately

How have things been, day to day?

Just pick what feels closest. None of it needs to be exact.

How’s your sleep been?

And your eating?

How much time goes to your phone or social media?

Do you drink, smoke, or use anything else?

Are you taking any medication, or seeing a psychiatrist?

Helpful for me to know, never a problem if you are.

Any ongoing physical health conditions?

Step 4 of 5

Your Therapist

A few practical things

A little background

This helps me prepare, and keep things easy for you.

Have you been to therapy before?

Were you referred by a doctor or someone else?

How did you discover me and Heart It Out?

What’s your profession?

Your yearly income

I ask so I can make sure therapy stays easy and within reach for you. It stays between us.

Step 5 of 5

Your Therapist

One last thing

When things get heavy, do you have someone to turn to?

No judgment either way. It just helps me understand what you’re carrying, and what you might be carrying alone.

That’s all I’ll ask for now. Whatever you’ve shared stays with me, and we’ll pick it up together when we meet.

That’s everything. Thank you for trusting me with it.

I’ll have read all of this before we meet, so you won’t have to start from the beginning.

If there’s anything else you’d like to share, just message me on your dashboard.