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Recurring couple session information
Coaches Session Form
Session ID
What are the primary concerns reported by the couple?
Poor communication (interrupting, stonewalling, avoidance etc)
Defensiveness
Contempt
Lack of emotional availability
Criticism
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
How much progress has the couple made towards therapy goals?
Significant progress
Some progress
No progress/stagnation
Regression
Other
What are some specific areas of progress observed?
Improved communication
Increased emotional connection
Improved conflict resolution skills
Reduced criticism or defensiveness
Better ability to express needs
Increased intimacy/trust
No areas of progress
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?
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!