Book an appointment. Name * First Name Last Name Number Of Family Members * 1 2 3 4 5 6 Email * What specific challenges or changes has your family been experiencing that led you to seek therapy? * How would you describe the current communication style within your family? Are there any patterns you’ve noticed? * What are each family member’s roles or responsibilities, and how do you think those roles affect your relationships? * Are there any recent life events (e.g., divorce, loss, relocation, illness) that may be impacting your family’s emotional well-being? * How does your family typically handle disagreements, discipline, or decision-making? * What are your goals for therapy as a family? Are there shared goals or do different members have different needs? * How do faith, culture, and values influence the way your family functions and copes with challenges? * Is there anything each family member wants the others to better understand about them or their experience? * Thank you!