Pre-meeting form

Thank you for completing this form prior to our first meeting. This will allow me to speed up the evaluation process to create a personalized service that corresponds to your needs.

You will have access to my calendar to choose a date for our first meeting.

All the information in this form is strictly confidential. I am the only person who will have access to this document. We will discuss this further during our appointment.

Lifestyle: help me understand how you live and your life habits

Interpersonal relationships

Is there anything else you would like me to know?

In some cases, I might not be able to initiate psychotherapy with you. If that is the case, I will do my best to refer you to a professional who can best meet your needs and goals.