Intake Assessment 


Our biopsychosocial Intake Assessment Form is a thorough and extensive form with space to collect demographic, family and clinical information during intake appointments of adult clients. It contains inclusive and affirming language and can be edited to reduce or include further areas of specialism.

A Biopsychosocial assessment form is a template containing questions we might ask when we start working with an adult individual client.


  • Client Personal Information
  • Previous Experiences of Therapy
  • Previous Assessment & Diagnosis
  • Menstrual Health
  • Perinatal Health
  • Sleep
  • Food (HAES Affirming)
  • Body
  • Movement
  • Substance Use
  • Risk
  • Trauma
  • Heritage, Culture & Beliefs
  • Family
  • Relationships
  • Education & Career
  • Intentions


Updated 2020 Anti-Racism Commitment and Inclusivity sections with anti-racism training and review. Updated 2020 gender inclusive language training and review. Updated lawyer review 2020. Updated formatting in September 2021 by Tamara.


This document is

  • Reviewed by lawyers 2020
  • Reviewed by Anti-Racism Consultant 2020
  • Updated format and guidance notes by Tamara Howell September 2021
  • It is your responsibility to check for updates in regulations and terminology

This document is not

  • Is not applicable for children or couples.
  • Does not include contracts
  • Does not include a training, tutorial or course
  • Does not include future updates  

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