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Pre-Counseling Forms

Counseling Intake Form

The Counseling Intake Form is a comprehensive questionnaire that provides basic demographic, theological, and pertinent information about the issues that caused them to seek counseling.

Counseling Agreement

The Counseling Agreement is intended to be signed by your counselee prior to, or at the first counseling session. This form helps to establish expectations at the outset of the counseling case.

The Gospel Presentation

The Original Gospel Presentation

This Gospel Presentation is an original copy of Dr Stuart Scott's Gospel Presentation. Below are a couple of links to his ministry's content.

Counseling Resources

Homework Worksheet

The Homework Worksheet is intended to have a yellow negative behind it that allows a copy to be retained by the counselor. The counselor fills it out, and the copy is given to the counselee. Then, during the next session, the counselor has a retained copy to review whether the homework was completed.

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The Homework Worksheet includes all 7 categories of homework.

Personal Improvement Plan

The Personal Improvement Plan is a form that is a handout that a counselor can give to their counselee as homework, as well as worked through during the counseling session. It allows the counselee to help in the process of identifying the problem and establishing goals for resolution.

Self-Evaluation & Improvement Worksheet

The Self-Evaluation and Improvement Worksheet is intended to be a data-gathering tool. A Counselor can have their counselee fill it out to really narrow down what issues their counselee is facing, and what they'd like to be addressed first.

The Conference Table

This form provides directions for the Conference Table. The Conference Table is a technique that can help couples that have developed a pattern of sinful communication whenever they are required to resolve some conflict. Like any tool, it's only as useful as the individual who uses it. Work through the biblical principles that are important for the Conference Table to be effective.

Fruit Root Chart

The Fruit Root Chart is a counseling tool that is designed for the Counselor to work through with the Counselee, allowing them to see that their perceived problems are the fruit (result) of a deeper issue (root). 

Reading Report Form

This form helps the counselee engage with the assigned reading material. It specifically asks the reader to reflect on the reading and how it might apply to their life.

Praying as a Couple

This form provides directions for how a couple can pray with one another. This is intended to be homework for the couple to complete at least once a week. It's intended to establish intimacy (closeness), increase communication, establish the husband as the spiritual leader, and put God central in their marriage.

Sermon Review Questionnaire

The Sermon Review Questionnaire is intended to assist the counselee by engaging them with the sermons preached on Sunday morning. It also verifies that the counselee did listen to the sermon.

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