One Session Therapy Form

Please fill in this questionnaire before your session. It is a very important part of the process so please engage with the questions as best you can. It will help you prepare for the session and hopefully mean you will get more out of it. It will also help me prepare. Can you please return it by email at least 24 hours before we are due to meet. I will ask permission to refer to this during the session

Full Name

Contact Details

1. What is the single most important issue you would like help with now?

2. How is this affecting you presently?

3. What would you like to achieve by the end of the session that would give you the sense you have begun to make progress?

4. What have you done in the past that has helped, even in a small way, with the issue? Include your own attempts to help yourself and any therapy you have received on the issue

5. What have you tried that has not helped with the issue? Again, please include your own attempts to help yourself and any therapy you have received on the issue?

6. Who, in your life, can support you as you tackle this issue now?

7. What strengths do you have as a person that may help you address this issue?

8. Is there anything you think that is vital to me to know in order to be able to help you with this issue?

Thank you for submitting.

01684 218594

sylviecounselling@gmail.com

01684 218594

One Session Therapy Form

Call or email Sylvie Worster now for a free 15 minute consultation

01684 218594