Get Appendix B Personal History Questionnaire - David C Cook

Filling out the APPeNdix B PersonAl History QuestionnAire can be an important step in understanding your personal history and facilitating a productive counseling relationship. This guide provides clear, step-by-step instructions on how to complete the form online, ensuring you provide comprehensive and helpful information.

Follow the steps to successfully complete the questionnaire.

1. Press the ‘Get Form’ button to access the APPeNdix B PersonAl History QuestionnAire and open it in your preferred editor.
2. Begin with the general information section. Fill in your name, date, address, phone numbers, gender, age, date of birth, who referred you, and the name of your family doctor. Take your time to ensure accuracy in this foundational information.
3. Move to the individual history section. Answer questions regarding your birthplace, family background, significant childhood experiences, and any health complications. Reflect on these aspects, as they provide valuable insights into your history.
4. In the family history section, provide details about your family structure, any mental disturbances in family members, and your relationship dynamics with parents and siblings. Be honest and thorough to convey a complete picture.
5. Proceed to fill in your educational history. Indicate the highest grade completed, any special classes attended, and your general experience in school. This information can highlight potential areas of concern or strengths.
6. Complete the occupational history section by detailing your job experiences within the past ten years, including any job changes and satisfaction levels. This helps illustrate your professional background.
7. In the general sexual history section, answer sensitive questions regarding your upbringing related to sexual education, experiences, and current feelings. Remember, you can choose to skip any question you are uncomfortable answering.
8. If applicable, complete the section specifically for women regarding sexual history and any associated health concerns.
9. In the marital history section, provide insights about your current and past marriages, communication styles, and familial relationships. Address any challenges and achievements related to your marital journey.
10. Fill out the medical history section with information regarding medications, allergies, any physical health problems, and history of mental health treatments. Accuracy is vital here for your well-being.
11. Answer the military and legal sections if relevant, indicating any military service, discharges, or legal issues such as arrests.
12. Complete the psychiatric background section, detailing any counseling experiences or medications. This information allows for better understanding and support during your counseling process.
13. If you choose to include it, fill out the spiritual assessment section, which can help illustrate your values and beliefs important for your overall support.
14. Review each section for completeness and accuracy. Upon finishing, you will have the option to save changes, download, print, or share the form as needed.

Make sure to complete your APPeNdix B PersonAl History QuestionnAire online today for a more tailored counseling experience.