Book an appointment. Name * First Name Last Name Email * What brings you to therapy at this time, and what are you hoping to work through or achieve? * Have you experienced any recent life changes, stressors, or transitions that are affecting your mental or emotional well-being? * Are you feeling suicidal or often have feelings of doing self harm? * How would you describe your current mood and overall emotional state on most days? * Are there any past experiences (childhood, trauma, relationships) that you believe may still be impacting your present life? * What are some coping strategies you currently use when you’re feeling overwhelmed, anxious, or low? * How would you describe your current support system (family, friends, church, etc.)? Do you feel supported? * Are there any spiritual or faith-based principles that are important to you and that you’d like integrated into your therapy? * What does healing or personal growth look like for you, and how will you know you’re making progress? * Thank you!
