Counselling Assessment

Make sure that you complete all areas in full OTHERWISE YOU WILL NOT BE ABLE TO SUBMIT. If a field is not required, please mark it as N/A.

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In the last two weeks [14 days], how often has the client been bothered by the following items.

Score each item [PUT SCORE IN THE BOX] as:

0=not at all

1=several days [1-6 days]

2=more than half of the days [7-11 days]

3=almost every day [12-14 days]


If you have ticked any of the above, you must now complete a risk assessment here