Progress Report for the A.R.T. Intensive
This is to measure our progress before we start working together and then at 3 and 6 monthly intervals.

1. Identify and fill in as many areas that are relevant to you
2. Describe the issue in the 'Category' column
3. Rate the issue 0-5 (0=none, 1=low, 5=high) in the Current State column
4. Add any other comments under the numbered boxes
5. Please return the form prior to commencement
Email *
What's the date today? *
MM
/
DD
/
YYYY
What is the name of the client? *
What is the age of the client? *
What is the gender of the client? *
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