This form is meant to help me understand where you are right now and what brings you to counseling.
There’s no need to explain things perfectly. Answer honestly, skip what doesn’t apply, and take your time.
Terms and conditions
By submitting this form, you consent to the use of the information provided solely for the purpose of biblical counseling and intake preparation.
Your responses are treated as confidential and will not be shared with third parties without your explicit consent, except where legally required.
This intake form helps prepare for an initial counseling session and does not, by itself, establish a formal counseling relationship.
FAQ
Do I need to answer everything perfectly?
Not at all. This is not a test or an official evaluation. It is simply a way for me to understand you better. Answer as honestly as you can, in your own words.
What if I do not yet have clear answers to some questions?
That is completely okay. You may leave questions blank if needed. We can clarify things together later.
Do I need to use professional or polished language?
No. This is not a report. Write as if you were explaining your situation over a cup of coffee. Authenticity is far more helpful than perfection.
How long does it take?
Most people take between 10 and 20 minutes, depending on how detailed they choose to be.
What happens after I submit the form?
I will carefully review your responses to prepare for our first counseling session and to approach our time together thoughtfully.
Is this confidential?
Yes. Your responses are treated with care and confidentiality and will not be shared without your consent, except where legally required.
Before we begin