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Psy

Referral & pre-intake

Pre-intake screening questionnaire builder

Create a short pre-intake questionnaire tailored to the presenting concern and practice intake needs.

Standard tool; account and usage limits apply. Review the current offer in the app before paying.

The task

When this tool helps

You want a short set of questions that helps prepare for an initial conversation.

Why use a dedicated tool?

The dedicated form keeps region, client age band, session format in one task-specific starting point. You supply the context, review the draft, and decide what to use.

Pro access covers the settings marked Pro. Check the offer, usage limits, and renewal terms shown in your app before paying.

From input to draft

A concrete example

Fictional material

Sample input

What you bring

Fictional practice offering adult individual therapy. Prepare six plain-language questions about the reason for contact, goals, availability, access needs, previous support, and preferred contact method. Do not request identifying clinical records.

Illustrative draft

What brings you to seek support now? What would you like to change? When can you attend? Is there anything that would make appointments easier to access? What support have you tried? How would you prefer us to contact you?

Written to illustrate the task; this is not a captured Psy output. It is a draft for professional review.

In the application

Inputs and customization

Current fields for Pre-intake screening questionnaire builder
InputChoices or guidanceAccess
RegionOptional
3 available choices
  • United States (DSM-5-TR / HIPAA) Default
  • United Kingdom (ICD-11 / GDPR)
  • Western Europe (ICD-11 / GDPR)
Standard
Client age bandOptional
4 available choices
  • Child
  • Adolescent
  • Adult Default
  • Older adult
Standard
Session formatOptional
4 available choices
  • Individual Default
  • Couple
  • Family
  • Group
Standard
Questionnaire briefRequiredPresenting concerns, must-have intake items, practice constraints…Standard

Region labels describe available settings, not legal or regulatory certification. Experimental options may change.

From context to a reviewed draft

  1. Open the tool. Use your existing account or the access options shown in Psy.
  2. Add the relevant context. Complete the required inputs and select the settings available to your plan.
  3. Generate and review. Check facts, omissions, wording, and suitability before saving or sharing.
Open Pre-intake screening questionnaire builder

Before you begin

Questions about this tool

What do I need to provide?

Questionnaire brief The current fields and available settings are listed above.

Does this need Pro access?

This is a standard tool with account and usage limits. Check current access and payment terms in the app.

What must I check before using the result?

Review appropriateness, accessibility, and collection practices. A questionnaire cannot establish suitability or replace an assessment.

Can I enter identifiable client information?

Check your professional obligations and the product's documented data handling first. Remove direct and indirect identifiers and avoid unnecessary sensitive information. Review data handling and current policies.