Brief Self-Check

Could I benefit from counseling?

Instructions: Read each statement and check the box if it has been true for you during the past month.

During the past month have you experienced any of the following?

Check all that apply

During the past month have you experienced any of the following?

Check all that apply

During the past month have you experienced any of the following?

Check all that apply

Your Results

Based on the number of boxes you checked: