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Client Goals
Before your first session · Trauma-informed
My Health + Mental Wellbeing Pty Ltd · ABN 63 662 152 310
Level 1, 63-73 Ann Street, Surry Hills NSW 2010
This form is optional but helpful. Completing it before your first session can help your counsellor understand what matters to you.
There are no right or wrong answers. You can leave any section blank, write “I’m not sure yet”, or only fill in what feels comfortable.
If this feels overwhelming, skip it — we can explore goals gently in your first appointment.
1. What has brought you to counselling?
In your own words — only what feels okay to write. You do not need to share everything.
2. A preferred future (optional)
If things felt even a little more manageable or safer, what might you notice? Small, realistic changes count (e.g. sleeping a bit better, feeling less on edge with one person, leaving the house more often).
You’ve chosen to explore this in session — the writing box is hidden. Untick to write something now.
3. Broad goals (up to three)
What would you like to work on? Broad goals are fine. One is enough. You can also write “help me work this out”.
You’ve ticked “I’m not sure yet” — goal boxes are dimmed so there’s no pressure to invent goals. Untick to fill them in.
Goal type (optional)
Safety / settling
What would “a bit safer” look like in everyday life? (e.g. fewer panic spikes, being able to stay present, less scanning for danger.)
Optional examples — tap to insert, then edit
Emotions / mood
Which feelings are hardest right now, and what would a small shift look like?
Optional examples — tap to insert, then edit
Relationships
Which relationship(s), and what would “a little better” look like between you?
Optional examples — tap to insert, then edit
Trauma / memories
No need to describe events in detail here. What would feel more manageable around memories, triggers, or the aftermath?
Optional examples — tap to insert, then edit
Daily functioning
Sleep, work, leaving the house, routines — what would a small practical change look like?
Optional examples — tap to insert, then edit
Other
In a few words, what kind of change matters most for this goal?
Optional examples — tap to insert, then edit
Goal type (optional)
Safety / settling
What would “a bit safer” look like in everyday life? (e.g. fewer panic spikes, being able to stay present, less scanning for danger.)
Optional examples — tap to insert, then edit
Emotions / mood
Which feelings are hardest right now, and what would a small shift look like?
Optional examples — tap to insert, then edit
Relationships
Which relationship(s), and what would “a little better” look like between you?
Optional examples — tap to insert, then edit
Trauma / memories
No need to describe events in detail here. What would feel more manageable around memories, triggers, or the aftermath?
Optional examples — tap to insert, then edit
Daily functioning
Sleep, work, leaving the house, routines — what would a small practical change look like?
Optional examples — tap to insert, then edit
Other
In a few words, what kind of change matters most for this goal?
Optional examples — tap to insert, then edit
Goal type (optional)
Safety / settling
What would “a bit safer” look like in everyday life? (e.g. fewer panic spikes, being able to stay present, less scanning for danger.)
Optional examples — tap to insert, then edit
Emotions / mood
Which feelings are hardest right now, and what would a small shift look like?
Optional examples — tap to insert, then edit
Relationships
Which relationship(s), and what would “a little better” look like between you?
Optional examples — tap to insert, then edit
Trauma / memories
No need to describe events in detail here. What would feel more manageable around memories, triggers, or the aftermath?
Optional examples — tap to insert, then edit
Daily functioning
Sleep, work, leaving the house, routines — what would a small practical change look like?
Optional examples — tap to insert, then edit
Other
In a few words, what kind of change matters most for this goal?
Optional examples — tap to insert, then edit
4. How might life look a little different?
For any goal above, describe a small real-world difference — what you might do, feel, or notice. Not about being “fixed”.
Difference boxes appear when you write a goal in section 3. Add a goal above to unlock the matching box here.
5. Pacing and safety (optional)
Anything your counsellor should know about pacing, topics to go slowly with, or what helps you feel safer in the room (or online)?
Thank you. We will treat what you share with care and confidentiality within the limits in your Confidentiality and Service Agreement.
Goals can change — this is a starting point, not a contract. Return this before your first session if you can, or bring it with you.
