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Start with clarity.
Pre-Session Check
Share a few quick details to help understand needs before the session begins.
Name
Email
Which of these have you been experiencing recently? (Select all that apply)
Feeling low, unmotivated, or emotionally drained
Feeling worried, tense, or unable to relax
Sudden fear, panic, or physical anxiety symptoms
Feeling overwhelmed, stressed, or burned out
Trouble falling asleep or staying asleep
Difficulty focusing, organising, or staying on track
Repetitive thoughts or habits that are hard to stop
A past experience that still affects me emotionally
Mood ups and downs or emotional swings
Concerns about alcohol use
Concerns about substance use
Physical symptoms linked to stress (headaches, gut issues, body pain)
Relationship or emotional connection difficulties
Concerns about eating, food, or body image
Stress or discomfort around intimacy
I’m not sure — I just want a general check-in
In the last 2 weeks, how often have you experienced the following?
Feeling down, sad, not feeling as happy as you used to or hopeless?
Not at all
Several days
More than half the days
Nearly every day
Little interest or pleasure in things you usually enjoy like going out with friends or watching a movie?
Not at all
Several days
More than half the days
Nearly every day
Feeling nervous, anxious, or on edge? Unable to relax and over worried?
Not at all
Several days
More than half of the days
Nearly everyday
Not being able to control or stop worrying about things?
Not at all
Several days
More than half of the days
Nearly everyday
Sudden waves of fear or intense discomfort?
Not at all
Several days
More than half of the days
Nearly everyday
Body reactions during these moments (fast heartbeat, breathlessness, dizziness)?
Not at all
Several days
More than half of the days
Nearly everyday
Worrying about when the next episode might happen?
Not at all
Several days
More than half of the days
Nearly everyday
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