CBT Check-In Form
Please complete this form to help focus and prepare for your upcoming CBT session.
Are you ready to begin your session?
*
Yes
Somewhat
Not yet
How would you describe your current emotional state?
*
Please Select
Calm
Anxious
Sad
Irritable
Hopeful
Other
What is your main focus or goal for this session?
*
On a scale of 1-10, how intense are your current symptoms?
*
Not intense
1
2
3
4
5
6
7
8
9
Very intense
10
1 is Not intense, 10 is Very intense
Have you experienced any recent situations or triggers you'd like to share?
Which coping skills have you used since your last session?
Deep breathing
Thought challenging
Journaling
Mindfulness
Physical activity
Other
Have you completed any homework or practice since your last session?
Yes
Partially
No
Are there any concerns or topics you would like to discuss today?
Is there anything else you'd like to share before we begin?
Submit Check-In
Should be Empty: