Couple First Session Form

Therapist First Session Form

Status of Session
Did the session start and end on time ?
Client 1
How did the client attend the session??
Has the client been diagnosed with any mental or physical health concerns?
Has the client1 taken love language quiz?
Has the client taken fight language quiz?
Are they parents?
Do they have any concerns?
Do they have any concerns?
What are the parenting concerns?
What are the concerns?
What are their primary concerns?
Pre-marital
Emotional-Concerns
Abuse
Sexual Concerns
Spiritual concerns
Financial Concerns
Lifestyle Concerns
Family Support
Is the client at risk of suicide
Is there a barriers to therapy?
What are the barriers to therapy?
What was the focus of the session?
What stage is the client at?
Was homework given?
What kind of selfwork was given?
Client 2
How did the client attend the session??
Has the client been diagnosed with any mental or physical health concerns?
Has the client1 taken love language quiz?
Has the client taken fight language quiz?
Are they parents?
Do they have any concerns?
Do they have any concerns?
What are the parenting concerns?
What are the concerns?
What are their primary concerns?
Pre-marital
Emotional-Concerns
Abuse
Sexual Concerns
Spiritual concerns
Financial Concerns
Lifestyle Concerns
Family Support
Is the client at risk of suicide
Is there a barriers to therapy?
What are the barriers to therapy?
What was the focus of the session?
What stage is the client at?
Was homework given?
What kind of selfwork was given?
Therapist
Did you expereicence transference during the session?
Did you expereicence counter transference during the session?
Do you need supervision for this case?
Was this the termination session?
Would you recommend therapy packages to them?
Which one would you recommend?
What primary feelings are you left with?
What is your energy levels after the session?
Did the session start and end on time ?
Client 1
How did the client attend the session??
Has the client been diagnosed with any mental or physical health concerns?
Has the client1 taken love language quiz?
Has the client taken fight language quiz?
Are they parents?
Do they have any concerns?
Do they have any concerns?
What are the parenting concerns?
What are the concerns?
What are their primary concerns?
Pre-marital
Emotional-Concerns
Abuse
Sexual Concerns
Spiritual concerns
Financial Concerns
Lifestyle Concerns
Family Support
Is the client at risk of suicide
Is there a barriers to therapy?
What are the barriers to therapy?
What was the focus of the session?
What stage is the client at?
Was homework given?
What kind of selfwork was given?
Client 2
How did the client attend the session??
Has the client been diagnosed with any mental or physical health concerns?
Has the client1 taken love language quiz?
Has the client taken fight language quiz?
Are they parents?
Do they have any concerns?
Do they have any concerns?
What are the parenting concerns?
What are the concerns?
What are their primary concerns?
Pre-marital
Emotional-Concerns
Abuse
Sexual Concerns
Spiritual concerns
Financial Concerns
Lifestyle Concerns
Family Support
Is the client at risk of suicide
Is there a barriers to therapy?
What are the barriers to therapy?
What was the focus of the session?
What stage is the client at?
Was homework given?
What kind of selfwork was given?
Therapist
Did you expereicence transference during the session?
Did you expereicence counter transference during the session?
Do you need supervision for this case?
Was this the termination session?
Would you recommend therapy packages to them?
Which one would you recommend?
What primary feelings are you left with?
What is your energy levels after the session?