Preferences
On each of the items below, please indicate your preference for how I should work with you.

  • Not = You prefer I don't  _________

  • - = You're indifferent whether I _________

  • Primarily = You encourage me to _________
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Scale 1.  Therapist Directiveness vs. Client Directiveness
I would like the therapist to...
Not
Less
-
More
Primarily
Focus on specific goals
Give structure to the therapy
Teach me to deal with my problems
Give me 'homework' to do
Take a lead in therapy
Allow me to take a lead in therapy
Clear selection
Scale 2. Emotional Intensity vs. Emotional Reserve
I would like the therapist to...
Not
Less
-
More
Primarily
Encourage me to go into difficult emotions
Talk with me about the therapy relationship
Focus on the relationship between us
Encourage me to express strong feelings
Focus mainly on my feelings
Clear selection
Scale 3. Past Orientation vs. Present Orientation
I would like the therapist to...
Not
Less
-
More
Primarily
Focus on my life in the past
Help me reflect on my childhood
Focus on my life in the present
Help me reflect on my adulthood
Focus on my future
Clear selection
Scale 4. Warm Support vs. Focused Challenge.
I would like the therapist to...
Not
Less
-
More
Primarily
Be gentle/supportive
Be challenging/ confrontational
Interrupt me and keep me focused
Be challenging of my own beliefs and views
Challenge my behavour if they think it's wrong
Clear selection
Comments
(optional)
Modality of therapy:
Guess how long our work together will take:
e.g. Four weekly 90-min sessions
Length of therapy sessions
If you'd prefer something different from my default 90 minute consultations
Frequency of therapy sessions
Clear selection
Setting of therapy
Note: Our first consultation will still be over the phone
What would you most dislike happening in your therapy?
Any other strong preferences come to mind?
and do raise them at any point in therapy
Name *
Phone number
 *
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