QPC-S
Initial Consultation Questionnaire (Short Version)
This intake questionnaire gathers essential information before an initial consultation. It helps identify the patient's main presenting problem, the context in which it emerged, its impact on daily life, and their expectations regarding the support they will receive. A practical tool for preparing the first sessions efficiently and having an overview from the very start of treatment.
- Number of questions
- 8 questions
- Estimated duration
- 2 minutes
- Language
- English
- Original name
- Initial Consultation Questionnaire (Short Version)
Preview of the 8 questions
Scoring & interpretation
Summary
The responses highlight a history marked by contexts of great emotional insecurity and repeated relational experiences of abandonment, which may have a lasting impact on self-confidence and emotional stability. There is a pervasive feeling of loneliness, a tendency toward mental exhaustion, and a persistent difficulty in engaging in relationships experienced as secure. Mood fluctuations and memory and attention problems are mentioned, along with an existential devaluation, with no reported suicidal ideation but with a feeling of emptiness and loss of bearings. Overall, this suggests a complex situation that should be monitored closely, particularly with regard to self-esteem and coping abilities.
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