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Your Childhood

What was your family situation growing up? (e.g. number of siblings, parents, step-parents)

What was it like growing up in your family?

Did you experience any significant illnesses or injuries as a child? If so, what were they?

How did your parents treat you, and each other, when you were a child?

Did your parents separate/divorce? If so, when did it happen and how did it affect you?

How old were you when you left home and where did you go?

Your Education

If you clicked "Strongly Disagree" or "Disagree", tell me more about that.

Were you bullied at school? If so, when? What happened?

Were you suspended or expelled from any schools? If so, what happened?

What is the highest level of schooling you completed?

Your Work

Have you completed any training? (e.g. apprenticeship, trade course, professional training or university degree? If so, when did you start, what did you study, and what was it like?

What is your main occupation?

What is your current employment status?

Please provide an overview of your employment history.

Relationships

Please provide an overview of any significant relationships you have had (including your current relationship)

Your Current Situation

What is your current relationship like?

What is your current living arrangement (including details of any children and what access you have)?

How do you spend your time? Do you have any hobbies, interests, or regular activities you're involved in?

Mental Health

Have you had any psychological/mental health issues in the past? If so, what were they?

Have you ever been prescribed any medications for psychological problems? Are you taking any now? If so, what?

Have you seen a psychologist before? If so, who have you seen and for how long? Was it helpful?

If you ticked any of the above, please indicate how long you have had the problem, how frequently it occurs, and how much you consume/spend. How have they affected your life?

Criminal Charges

Have you been charged for any criminal offences in the past? If so, what were they and what happened?

If you have recently received charges, what are they?

What do you think caused your offending?

Treatment

What are you hoping to achieve by engaging in treatment with me?

Background Form