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First Couple Sessoin Information
Coaches Session Form
Session ID:
Primary partner’s presenting concerns (client who booked the session).
Secondary partner’s presenting concerns.
What are the primary concerns reported by the couple?
Poor communication (interrupting, stonewalling, avoidance etc)
Defensiveness
Criticism
Contempt
Lack of emotional availability
Effective conflict resolution attempts
Issues with physical intimacy
Infidelity
Extended family concerns (in-laws, relatives etc)
Parenting issues
Separation
Abuse (physical, emotional, verbal etc)
Other
Any homework/exercise assigned after the session?
Communication exercises
Conflict resolution strategies
Individual reflection assignments
Date night or bonding activity
Other
What are the challenges/barriers experienced by the couple? (eg. difficulty implementing strategies, unresolved trauma, lack of routine etc).
What is the plan for the next session?
Do you need supervision for this couple?
yes
no
What date have you given the couple for a follow up session?
How do you feel after the session?
Exhausted af
Meh, tired
Feeling okay
Going with the flow
On top of the world!