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Therapy & Counseling Intake Template

Sensitive one-question-at-a-time intake for therapists. PHQ-2 screen, modality preference, scheduling.

8 fields8 steps3 minutes35–45% avg conversion

Free while in beta · No credit card required

About this therapy & counseling intake template

Designed for licensed therapists, counselors, and coaching practices. Each question lives on its own page so the client never feels overwhelmed by a wall of personal questions. Includes a PHQ-2 style depression screen and modality preference (CBT, EMDR, etc.). Auto-advance keeps momentum.

Conversion tips

One-question-at-a-time pacing on a sensitive topic raises completion by ~28% vs a long form. The PHQ-2 screen gives you triage data before the first session — high-risk responses can route to crisis resources via skip-logic.

Frequently asked questions

Why is each question on its own page?

Mental-health intakes carry higher abandonment when shown as a long form. Single-question pacing creates a conversation, not an interrogation.

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Free while in beta · Server-side tracking included · Cancel any time

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