BATRC Questionnaires
The following assessment questions help your therapist gather essential information about what's bringing you to therapy, and how your strengths and struggles are impacting your life. While this information may be used to form diagnostic impressions and to guide subsequent clinical interventions, it is only one part of any clinical assessment-- your therapist will also learn more about what is happening for you during therapy.

If you have any questions about this assessment process, please ask your intake therapist or assigned therapist.

In addition, this clinical assessment data helps the clinic staff evaluate the effectiveness of the programming/treatment offered at BATRC.

Data used for these purposes is anonymized, meaning that your name will not be associated with the data, and will be grouped with other clients' data. Your confidentiality will be protected at all times. If you have questions about the use of this data, please feel free to ask your clinician or to call 510-660-1493. We are happy to answer any questions you may have.

Please use your individual "Client Code" to submit your assessments.

If you do not already have your client code, call this number to speak with our intake coordinator: 510-660-1493

You may also choose not to submit your information electronically. If that is the case, please return to and print the PDFs to fill out by hand and bring to your appointment.
What is your client code?
CLIENT CODES ARE CASE-SENSITIVE. Please use all caps! Thank you! *
This number should be given to you during your first call with us, or from your ongoing clinician. If you are not sure, you can call this number to speak with our intake coordinator and obtain an individual client code: 510-660-1493.
Your answer
What are you taking assessments for? *
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