| Describe in detail what you need | Create a first session generic assessment sheet for adults to Leary what their difficulties are and how they feel |
| How many pages | 2 |
This assessment sheet is designed to facilitate an understanding of the difficulties adults may be facing in their personal and professional lives. It allows individuals to express their feelings and challenges, promoting a collaborative environment for support and intervention.
Name:
Date:
Age:
Occupation:
Contact Information:
Please describe your current life situation. What led you to seek help?
Your response:
Have you experienced any significant life events in the last year (e.g., loss of a loved one, job change, relationship changes)? If so, please describe.
Your response:
How would you rate your overall well-being on a scale from 1 to 10, with 1 being the worst and 10 being the best? Please explain your rating.
Your response:
What emotions have you been experiencing most frequently? (e.g., anxiety, sadness, anger, joy, etc.)
Your response:
On a scale from 1 to 10, how would you rate your stress and anxiety levels currently? What do you believe is contributing to these feelings?
Your response:
Have you previously sought help for any emotional or psychological issues? If so, please elaborate on your experiences.
Your response:
What strategies or practices do you currently use to manage your emotions and stress? (e.g., exercise, talking to friends, meditation, etc.)
Your response:
How effective do you find these strategies in managing your difficulties? (Please provide specific examples if possible.)
Your response:
How open are you to changing or trying new coping strategies? What holds you back, if anything?
Your response:
Who do you consider to be part of your support network? How would you describe your relationship with them?
Your response:
Do you feel comfortable discussing your feelings and challenges with others? Why or why not?
Your response:
Are there any specific relationship issues that you are experiencing? Please describe.
Your response:
What are your current personal goals? How do you feel you can achieve them?
Your response:
What do you perceive as barriers to achieving these goals?
Your response:
What kind of support do you think you need to overcome these challenges and achieve your goals?
Your response:
This assessment sheet serves as a conversation starter and a foundational tool for understanding your challenges. The responses you provide will be vital in framing our future discussions and strategies. Thank you for your openness and honesty.
Please return this assessment sheet at the beginning of our next session.
End of Document