Client’s Therapy Goals - Family Relational Health Services International

Name:

First

Last

Age:

Relational Status:

Address:

Telephone:

Email:

Instruction:

In order for the Therapy Sessions to be properly focused on Your Needs, and for You to benefit from them, it is important that Specific Goals be set from the very beginning. Below is a sampling of Goals that different people have set when they seek therapy. Read them and if any expresses what You would like to be accomplished, please place a check mark beside it/them. Write any other Personal Specific Goals that You have on the space provided below. Thank You!

Some General Goals

I want a clear understanding of the issues affecting my life and how to manage them effectively.
I want to correct/change some faulty behaviour/practices that are affecting me and replace them with more acceptable ones.
I want to find more meaning in life.

I want to achieve better relationship with:

Checkboxes

I want to love myself more.
I want to become more self-actualizing and accomplished.
I want to build my self-esteem.

I want to stop depending on:

Checkboxes

I want to become more responsible.
I want to release myself of guilt.
Third Choice

I want to learn to communicate more effectively with:

Relational want to

Checkboxes

I want to develop better human relationship skills in general.
I want to learn to handle family conflicts better.
I want to improve my social life.

I want to resolve some:

conflicts that I have with:

Personal Specific Goals: