Counselling intake form template

Consultation RequestFirst things first, what's your first name?And your last name?What's your date of birth, {{field:71b052d3-0548-42e6-a0c0-8d90d888626b}}?Tell me a little bit about yourself.What do you do for a living, what's your home situation like, what do you love to do in your free time? Just a couple of sentences will do.What's the reason you're reaching out today?What do you hope to gain from our counseling sessions?Have you ever had counseling before?Could you tell me a bit about that, {{field:71b052d3-0548-42e6-a0c0-8d90d888626b}}?Thanks, {{field:71b052d3-0548-42e6-a0c0-8d90d888626b}}. I'll give you a quick call so we can schedule an appointment.What's the best number to reach you on?Thanks, {{field:71b052d3-0548-42e6-a0c0-8d90d888626b}}. All received.

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Give clients a warm welcome with a friendly tool that's built for humans. This counseling intake form asks one question at a time, like a real conversation. And with a feature that remembers patients' names and recalls them later, it'll feel like you made this form just for them.

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Counselling intake form FAQs:

First things first, write like you speak. Most forms chop up sentences to fit into tiny boxes, so whoever fills it out feels like they're taking a test.

A typeform shows respondents one question at a time, so there's space for conversational language. This approach really helps patients open up. In fact, 87% of Typeform users reported deeper insights after switching to Typeform.

Get started by customizing the template we've given you. You can use the questions we've provided, or add your own into the mix.