Couple Narrative (Intake)

General Information

Each partner should individually complete intake according to comfort level. A thorough response is very helpful to the process but not a prerequisite. All material will be kept confidential. Sharing responses with each other prior to therapy can be very therapeutic for couples who are communicating well and may even remedy the prevalent issue. For acrimonious couples, complete individually and return to therapist at initial appointment.

Presenting Issue Information

Below are all variables that impact couple’s level of bonding. Please briefly describe your feelings, thoughts and/or abilities regarding the following:

Centering Questions