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GAD-7
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New Client Information
Home
About
How do I work
Code of Ethics
The Counselling Process
What is CBT and REBT
Ellis’ REBT – Existential CBT Model
Presenting Issues
Therapy Types
Workplace Therapy
Couple Counselling
Remote Online
Single Session Therapy SST
Coaching
Contact
Clients
Client Feedback
GAD-7
PHQ-9
ReQol
Work & Social Adjustment Scale
Beck’s Depressive Scale
New Client Information
07973 426153
ReQol
Please complete the following if you have been asked to do so
Fields marked with an * are required
First Name
Client ID (if known)
Last Name
Email Address
I found it difficult to get started with everyday tasks
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I felt able to trust others
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I felt unable to cope
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I could do the things I wanted to do
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I felt happy
0 = None of the time 1=Only occasionally 2= Sometimes 3=Often 4= Most or all of the time
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I thought my life was not worth living
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I enjoyed what I did
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I felt hopeful about my future
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I Felt Lonely
4 = None of the time 3=Only occasionally 2= Sometimes 1=Often 0= Most or all of the time
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I felt confident in myself
4 = None of the time 3=Only occasionally 2= Sometimes 1=Often 0= Most or all of the time
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Please describe your physical health (problems with pain, mobility, difficulties caring for yourself or feeling physically unwell) over the last week
4 = None of the time 3=Only occasionally 2= Sometimes 1=Often 0= Most or all of the time
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