Couples Counseling Intake Form - Web conducting intake sessions: What is the problem that led you to decide to come to couples therapy? Counseling typically begins with the intake and the assessment process. How long have you and your partner been together? In what form (e.g., dating, living together, married)? Web couples counseling initial intake form name:_________________________________________________ date: Web couples intake questionnaire 1. You are giving serenity counseling center permission to contact you via phone call, text or email concerning your appointment, case information or other business pertaining to. __________________ name of partner:________________________________________ relationship status: Together, they provide crucial opportunities to capture information.
In what form (e.g., dating, living together, married)? What is the problem that led you to decide to come to couples therapy? __________________ name of partner:________________________________________ relationship status: Together, they provide crucial opportunities to capture information. Web couples counseling initial intake form please note that while you will be asked to talk about your answers in session, your partner will not be shown this form. Counseling typically begins with the intake and the assessment process. How long have you and your partner been together? Web couples intake questionnaire 1. You are giving serenity counseling center permission to contact you via phone call, text or email concerning your appointment, case information or other business pertaining to. Web conducting intake sessions: Web couples counseling initial intake form name:_________________________________________________ date: