Initial Wellness Assessment
Thank you for your interest in Wellness Consultations with the Student Wellness Office. Please take a moment to thoroughly consider your responses to the following questions.

This assessment will need to be completed in it's entirety PRIOR to your first session. If you have not scheduled an appointment, please visit
Email address *
Today's Date *
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Preferred Name: *
Your answer
Your Age: *
Your answer
Phone Number: *
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Are you a: *
Where did you hear about our services? *
Your answer
Have you already scheduled an appointment with Student Wellness? *
What day of the week do you prefer to schedule your appointments? *
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What time of day works best for you to schedule your appointments? *
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