ProductIntake questionnaire

The intake questionnaire that prepares your first session

Before the first appointment, your patient answers questions that cover the main areas of their profile. You start the first session already knowing why they're seeking help, what they expect and their levels of depression, anxiety and stress. And they feel looked after before they even walk in.

50,000+ patients4.7/5 satisfactionGDPR & HIPAA compliant
Sent automatically to every new patient
A first session that's already prepared

How much do you agree?

“I think I know how to take care of myself, but I can't seem to apply it on a daily basis.”

Strongly agree
Somewhat agree
Neither agree nor disagree
Somewhat disagree
Strongly disagree
Before your first appointmentContinue

In the record before the session

Reason for seeking help

Anxiety at work

Expectations

Manage my thoughts and emotions better

DASS-21

Severe stress

Before the first session

Your patient does their part before they even meet you.

Before the first appointment, they answer from their phone, one question per screen. You get a sense of their story before they tell it in person, so you're not starting the first session from scratch.

What brings you here?

I regularly have anxiety attacks in everyday situations.
I am excessively anxious about everyday problems.
I dread being the center of attention or fear being humiliated in certain social situations.
None of these statements apply to me.

A first session that's already prepared

Why they're seeking help, how long they've been struggling, what they expect: you know the essentials before your patient walks in, and the first session can focus on what matters.

The key areas of their profile, covered

Main symptoms and their intensity, previous therapy, levels of depression, anxiety and stress, readiness for change: the questions cover what you'd explore in an intake interview.

A mark of professionalism for your patient

A carefully designed questionnaire before the first appointment is reassuring: your patient feels welcome, and can see that their care is being taken seriously.

From the built-in intake questionnaire. You can also create your own.

Built-in measure

A clinical baseline, from day one.

The built-in questionnaire includes the DASS-21, so depression, anxiety and stress are measured before the first appointment.

“Let's take stock together”

“We're going to measure your levels of stress, anxiety and depression. The result isn't a diagnosis, but it helps us understand your situation better.”

Your patient knows what the measure is for, and that it doesn't replace a diagnosis.

“Over the past week, I found it hard to wind down.”

Never · Sometimes · Often · Almost always

“Over the past week, I couldn't seem to experience any positive feeling at all.”

Never · Sometimes · Often · Almost always

“Over the past week, I found it difficult to relax.”

Never · Sometimes · Often · Almost always

“Over the past week, I felt scared without any good reason.”

Never · Sometimes · Often · Almost always

At the end of the questionnaire, the answers are turned into three scores that go straight into the record. Later measures come at the pace you choose: progress tracking starts on day one.

The last screens introduce your patient to the approaches used (CBT and ACT) and to tools designed with psychologists, so they start therapy feeling confident.

In the record

You start the first session with a record that already tells a story.

Their answers are waiting in their record, question by question, and the DASS-21 arrives already interpreted.

Shared by the patient · Intake questionnaire

What brings you here?

I regularly have anxiety attacks in everyday situations.

How long has it been since you felt at your best?

Between 1 and 5 years

Over the past week, I found it hard to wind down.

Often

“I need tools and advice to gain perspective on my emotions and thoughts.”

Strongly agree

The baseline, already scored

Depression

8 / 42Normal

Anxiety

12 / 42Moderate

Stress

16 / 42Mild

The reason for seeking help, your patient's expectations and a standardized measure are all in place before you've even spoken. The first session is for real work, not for filling out forms.

Customization

Your own questionnaire, if you'd like one.

The built-in questionnaire is ready to use, and you can also create one with your own questions. You choose which one your new patients receive, and you can give a different one to a particular patient.

Built-in intake questionnaire Default

Profile, expectations and the DASS-21

My intake for teens

Your questions, your way

Set as default

Build each screen

Simple textOpen questionChoice questionText with illustrationChoice question with illustration

For all your new patients

Your default questionnaire goes out with every new record, without you having to think about it.

For one particular patient

When the situation calls for it, you assign them a different questionnaire in one click.

FAQ

Frequently asked questions

When does the patient complete it?

Before the first appointment: the questionnaire is sent automatically as soon as their record is created, with nothing for you to do.

What's in the built-in questionnaire?

The key areas of an intake interview: reason for seeking help, how long and how severely they've been struggling, previous therapy, expectations, readiness for change, and the DASS-21 to measure depression, anxiety and stress.

Can I customize the questions?

Yes. Create your own intake questionnaires (open questions, multiple choice, scales, illustrated screens), choose your default, and assign a different one to a specific patient.

Where do I find the answers?

In the patient's record, question by question. The DASS-21 in the built-in questionnaire is scored automatically, and its three scores are waiting for you when you prepare the session.

Can a welcome program start automatically afterward?

Yes: a welcome program can pick up from there, with psychoeducation and a first set of exercises.

Put SessionFuel to work in your next session.

Create your account, add your patients and assign their first homework in minutes.

50,000+ patients supported · 4.7/5 satisfaction · GDPR & HIPAA compliant