Get the free intake form for couples (1).pages

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Licensed Psychologist + Certified Emotionally Focused Therapist 80 Technology Way, Nashua, NH 03060 (646) 7043520 www.mybestrelationship.comCONFIDENTIAL CLIENT INFORMATION FORM FOR COUPLESPlease complete

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How to fill out intake form for couples

01

Step 1: Start by gathering personal information of both partners such as names, addresses, phone numbers, and email addresses.

02

Step 2: Ask for the date of the couple's wedding or the duration of their relationship.

03

Step 3: Include questions about the couple's background, such as their occupations, education, and family background.

04

Step 4: Ask about the reason for seeking counseling or therapy and any specific issues or concerns they would like to address.

05

Step 5: Include questions about the couple's communication patterns, conflict resolution skills, and expectations from therapy.

06

Step 6: Include questions about the couple's intimacy, sexual satisfaction, and any related concerns.

07

Step 7: Ask about any previous therapy or counseling experiences, including the outcome and type of therapy received.

08

Step 8: Include questions about the couple's goals and expectations from therapy, as well as any fears or reservations they may have.

09

Step 9: Provide space for the couple to add any additional information or concerns they feel are relevant.

10

Step 10: Ensure confidentiality and inform the couple about the purpose and use of the intake form.

Who needs intake form for couples?

01

Couples who are seeking counseling or therapy services.

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What is intake form for couples?

Intake form for couples is a form that gathers information about both individuals in a couple.

Who is required to file intake form for couples?

Both individuals in a couple are required to file the intake form.

How to fill out intake form for couples?

The intake form for couples can be filled out by providing accurate information about both individuals in the designated sections.

What is the purpose of intake form for couples?

The purpose of the intake form for couples is to collect necessary information from both individuals in a couple for various purposes.

What information must be reported on intake form for couples?

Information such as personal details, contact information, relationship status, and any relevant details asked on the form must be reported.

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