Getting Ready: Pre Advisory Session Questionnaire

Pre-Session Questionnaire for Your Mental Health Advisory Session.

Thank you for booking a Mental Health Advisory session with me. To ensure our time together is as effective and beneficial as possible, I kindly ask you to complete this short pre-session questionnaire. Your responses will help me better understand your concerns, emotional state, and goals for our session.

This questionnaire is designed to:
✅ Provide insight into your current challenges and needs.
✅ Help us make the most of our time together.
✅ Ensure a personalized and supportive experience for you.

Please answer each question as honestly as possible. Your responses will remain confidential and are solely for the purpose of enhancing our conversation.

Once completed, I will review your responses to the mental health advisory session questionnaire before our session. If you have any questions, feel free to reach out.

Please fill out the form below before our session begins.

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1. Name *

First

Last

2. Email *

3. Phone Number (Optional)

4. What is your primary reason for seeking mental health advisory support?

• Managing stress or anxiety
• Improving relationships
• Enhancing career success
• Developing emotional resilience
• Coping with grief or loss
• Managing life transitions
• Other

5. What specific challenges or concerns would you like to address or focus on during this session?

Please briefly explain any ongoing or past specific mental health challenges, personal or professional issues, or questions you would like to explore.

6. Have you tried any strategies or techniques in the past to address these concerns?

• Yes
• No

7. If you answered yes to number 6, please briefly describe what has worked or not worked.

8. How would you describe your overall satisfaction with your current mental health and well-being?

Selected Value: 0

Scale 1-10. 1 being very dissatisfied, 10 being very satisfied.

9. How would you describe your current emotional or mental state?

• Feeling overwhelmed
• Experiencing anxiety or stress
• Struggling with relationships
• Low mood or depression
• Feeling stuck in my career
• Dealing with grief or loss
• No specific emotional concerns
• Other

10. What is your primary goal for this session?

• Gain clarity on a personal issue
• Find practical strategies for managing stress
• Improve communication in relationships
• Receive guidance on career choices
• Build confidence and resilience
• Address mental health challenges
• Other

11. How do you prefer to approach the session?

• In-depth discussion and guidance
• Practical advice and tips
• Support and emotional understanding
• A balanced combination of all

12. Please indicate your preferred session type:

• Audio Session
• Video Session

13. What support systems do you currently have in place?

• Friends and family
• Therapy or counseling
• Support groups
• Other

14. Would you like to receive any follow-up resources or suggestions after the session?

• Yes, I would like to receive resources and suggestions.
• No, I don’t need any follow-up at this time.

How techniques is

15. Is there anything else you would like me to know before we begin our session?

Short answer.

Submit