Forms

In order to make the best use of our time during the intake session, we would like to know as much as possible about your concerns and your or your child’s background. We have found that asking many of our questions ahead of the intake makes it easier for everyone involved. Please answer the following questions to the best of your ability. Because we work with clients with a wide range of ages, backgrounds, and challenges, some of the following items will probably not apply to you or your child's case. We live in a diverse world and hope to not overlook possibilities. The more you tell us, the better job we can do to address your concerns. If a section of the questionnaire does not apply to you or your child (for example, occupational history for a child) or if you prefer not to answer any questions, that is fine - just skip to the next one.