TRANSFORMED CONNECTIONS INTAKE FORM

Welcome to Transformed Connections!  

Your answers to this form will help me know some things about you before we start.  If a question is upsetting to you and you don't want to answer it, let's talk about it. This is just a starting point and know that your journey begins now.

Name *
Name
Favorite people (list 2-3 names of family, friends, teachers, also include something specific you've experienced with them that makes you smile)
Favorite pets (list 1-2 names of pets, including things you’ve experienced with them that make you smile). If you don't have any pets, skip this question.
Favorite activities (list 1-2 of your favorite activities, why you like to do them and how they make you feel)