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Forms

Initial Consultation

Information Sharing Consent Form

When requested by Counsellor

Please complete and submit the Initial Consultation Form prior to your initial consultation

Counselling Agreement Form

When requested by Counsellor 

Please review, complete and submit, your Counselling Contract Form prior to your initial consultation.

By submitting this form electronically you are accepting the terms and conditions as outlined.

Public Spaces Indemnity Form

When requested by Counsellor 

Please review, complete and submit, the Public Spaces Indemnity Form prior to your initial session.

By submitting this form electronically you are accepting the terms and conditions as outlined.

Client Feedback Survey

When requested by Counsellor

Please click on the link and complete the Client Feedback Survey 

Your Counsellor will discuss your feedback at your upcoming session

DASS 21: Depression, Anxiety, and Stress Scale

When requested by Counsellor

Please click on the link and complete the DASS 21

Your Counsellor will discuss the results at your upcoming session

ACEs and PACEs Survey

When requested by Counsellor

Please click on the link and complete the Adverse Childhood Experiences (ACEs) and Positive and Compensatory Experiences (PACEs) Survey 

Your Counsellor will discuss the results at your upcoming session

Attachment Style Questionnaire

When requested by Counsellor

Please click on the link and complete the Questionnaire 

Your Counsellor will discuss the results at your upcoming session

PTSD Checklist (PCL-C)

When requested by Counsellor

Please click on the link and complete the PCL-C PTSD Checklist

Your Counsellor will discuss the results at your upcoming session

Typical PTSD / Atypical PLR PTSD Checklist

When requested by Counsellor

Please click on the link and complete the PTSD Screening Tool.

Your Counsellor will discuss the results at your upcoming session

Significant Events (Trauma) Timeline

When requested by Counsellor

Please print out this form and complete as a home task.

Bring the completed record to your next consultation. 

Early Childhood Questionnaire

When requested by Counsellor

Please click on the link and complete the Questionnaire.

Your Counsellor will discuss the results at your upcoming session

Partner-Related Personality Traits Checklist

When requested by Counsellor

Please click on the link and complete the Checklist.

Your Counsellor will discuss the results at your upcoming session

Neuroscience: Cluster B: Brain Venn Diagram and Behaviour Link and Label

Cluster B: Behaviour Link and Label

When requested by Counsellor

Please click on the link and complete the Form.

Your Counsellor will discuss the results at your upcoming session

Five Factor Personality Traits Rating Form

When requested by Counsellor

Please click on the link and complete the Form.

Your Counsellor will discuss the results at your upcoming session

Functioning Checklist

When requested by Counsellor

Please click on the link and complete the Checklist.

Your Counsellor will discuss the results at your upcoming session

Cognitive Dissonance Checklist

When requested by Counsellor

Please click on the link and complete the Checklist.

Your Counsellor will discuss the results at your upcoming session

Stress Symptom Checklist

When requested by Counsellor

Please click on the link and complete the Checklist.

Your Counsellor will discuss the results at your upcoming session

Harm Reduction / Trauma Worsening Questionnaire

When requested by Counsellor

Please click on the link and complete the Questionnaire.

Your Counsellor will discuss the results at your upcoming session

Core Values Identification Task

When requested by Counsellor

Please click on the link and complete the Task.

Your Counsellor will discuss the results at your upcoming session

Thought Record

When requested by Counsellor

Please print out this form and complete as a home task.

Bring the completed record to your next consultation. 

Trauma Triggers

When requested by Counsellor

Please click on the link and complete the Questionnaire.

Your Counsellor will discuss the results at your upcoming session

Narcissistic Supply Methods

When requested by Counsellor

Please click on the link, review the information and commence the link and label activity.

Your Counsellor will discuss the results at your upcoming session

Stabilisation Self Care List

Please ensure you are working towards

including these activities in your weekly

self care routine

Self Led Trauma Informed Care Recommendations

You are welcome to access any of the recommended,

websites, books, videos or You Tube Channels

on this list for safe and appropriate self led learning 

Garden Walkway

Get in touch

Erin Prater

ABN: 36 397 568 976

0412 161 195

erinprater@live.com.au

©2024 by Erin Prater. Proudly created with Wix.com

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