Intake Questionnaire Services for Therapists

Benefits of a thorough Intake Questionnaire

Intake Questionnaires can aid therapists by collecting robust client data which will help:

  • allow the client to consider a wide variety of data points which may have had an impact on their presenting concerns that they may not have previously considered,

  • provide clinicians with extensive knowledge about their client at the outset of therapy,

  • reduce the amount of time spent collecting data points during session, and

  • expedite the development of rapport and use of therapeutic interventions since less time is spent on data collection.

Resources and Services

I believe in the power of knowledge sharing! I am offering my Intake Questionnaire for free to you! You may reference and adapt my form for your own use.

 

If, however, you would like my assistance to create a customized Intake Questionnaire for your practice , I am happy to help you! I offer three levels of customization at the rates listed below.

Intake Questionnaire Customization Rates

Intake Questionnaire Free

What you'll get:

FREE

Intake Questionnaire Basic

What you'll get:

  • Use of Stone Counseling & Consulting Services' Intake Questionnaire, as-is, with the following customization:

    • Incorporation of brand materials (to be supplied to Stone Counseling & Consulting Services by you)

      • Font

      • Logo

      • Letterhead

    • Editing of up to 5 questions

  • A basic Microsoft Word document with editing rights which may be printed for or e-mailed to clients.

$30

Intake Questionnaire Plus

What you'll get:

  • Use of Stone Counseling & Consulting Services' Intake Questionnaire, as-is, with the following customization:

    • Incorporation of brand materials (to be supplied to Stone Counseling & Consulting Services by you)

      • Font

      • Logo

      • Letterhead

    • Editing of up to 5 questions

    • Addition of up to 5 questions (that are not already included on the Intake Questionnaire)

  • A basic Microsoft Word document with editing rights which may be printed for or e-mailed to clients.

$60

Intake Questionnaire Premiere

What you'll get:

  • Use of Stone Counseling & Consulting Services' Intake Questionnaire, as-is, with the following customization:

    • Incorporation of brand materials (to be supplied to Stone Counseling & Consulting Services by you)

      • Font

      • Logo

      • Letterhead

    • Up to 20 questions to be edited or added

  • A basic Microsoft Word document with editing rights which may be printed for or e-mailed to clients, and

  • Conversion into an Adobe PDF form which clients may fill in and submit electronically.

​*Rate is per hour of time spent working on the form, with a one-hour minimum. Time spent beyond the first hour will be pro-rated at 15-minute increments.

$90*

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Rebecca Stone, LMHC is a licensed mental health counselor in the state of Florida
Rebecca Stone, LMHC is verified by Psychology Today

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Stone Counseling & Consulting Services, LLC is a mental health counseling/therapy and consultation service run by Rebecca L. Stone, a licensed mental health counselor (LMHC) in the state of Florida. The office is conveniently located in Lake Mary, FL, which is easily accessible for clients in the surrounding areas: 

Seminole County: Alaqua Lakes, Altamonte Springs, Casselberry, Chuluota, Fern Park, Forest City, Geneva, Heathrow, Lake Mary, Lake Monroe, Longwood, Oviedo, Sanford, Wekiva Springs, Winter Springs, Seminole State College (SSC)

Orange County: Alafaya, Apopka, Maitland, Orlando, Union Park, Winter Park, University of Central Florida (UCF), Full Sail University

Volusia County: Cassadaga, Debary, DeLand, Deltona, Lake Helen, Orange City, Osteen