16. Adult Continue Return Intake Form Questions

1. What progress have you noticed since your last session?

Why do we ask this? Your perception of progress helps us understand what’s working well and what areas might need more attention.

2. On a scale of 1-10, how would you rate your progress towards your original goal?

Why do we ask this? This rating helps us quantify your progress and adjust our approach if needed.

3. What aspects of your previous issue would you like to focus on in this session?

Why do we ask this? Your input helps us tailor the session to address the areas you feel are most important right now.

4. What specific goal would you like to achieve in this upcoming session?

Why do we ask this? Clear goals help us structure the session to meet your immediate needs and expectations.

5. Have you been practicing self-hypnosis or other techniques we gave you in previous sessions? If yes, how has that been going?

Why do we ask this? Your experience with self-practice helps us understand what’s working for you and where you might need additional support.

6. Is there any particular technique or approach from your previous session(s) that you found especially helpful or would like to explore further?

Why do we ask this? This information helps us build on techniques that resonate with you and refine our approach.

7. Have there been any significant changes in your life since the last session? (e.g., health, work, relationships)

Why do we ask this? Life changes can significantly impact your well-being and may require adjustments to our therapeutic approach.

8. Has any of your medical information changed since your previous session?

Why do we ask this? Changes in your medical condition or medications can affect your overall well-being and may influence our therapeutic approach.

9. Is there anything else you think would be important for your therapist to know?

Why do we ask this? This open-ended question allows you to share any additional information you feel is relevant to your care.