Anxiety Depression Domestic Violence Eating Disorders Obesity Obsessive Compulsive Behavior Schizophrenia Suicide Attempts
yes / no yes / no yes / no yes / no yes / no yes / no yes / no yes / no yes / no
No 1. Are you currently employed?Yes If yes, what is your current employment situation?
Do you enjoy your work? Is there anything stressful about your current work?
2. Do you consider yourself to be spiritual or religious?
If yes, describe your faith or belief:
3. What do you consider to be some of your strengths?
4. What do you consider to be some of your weaknesses?
5. What would you like to accomplish out of your time in therapy?