Counseling Personal Data Inventory

Please complete this inventory carefully. It will automatically be emailed to our Counseling Leader and is only discussed in confidence to only the Counselor(s) that you may be working with. If a question doesn't apply but is still required, just put "n/a" as the answer.

Thank you!
This form is a little lengthy, and some questions may not seem relevant, however, it has been built up out of our experiences as counselors. Bethel Baptist and its counselors are not licensed counselors, but continue to do ongoing training to learn how to best apply God's word to your situation. We hold confidently to the premise that God's Word can and will speak into your situation if you will let it. If it is decided that other sources outside of Bethel Baptist would best serve you, we will discuss that with you.
Personal Identification

 
 
 
 
 
 
 
 
 
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Marriage & Family

 
 
 
 
 
 
 
 
 
 
 
 
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Health

 
 
 
 
 
 
 
 
 
 
 
 
 
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Spiritual

 
 
 
 
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Other

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Women Only

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Description

Please complete this inventory carefully. It will automatically be emailed to our Counseling Leader and is only discussed in confidence to only the Counselor(s) that you may be working with. If a question doesn't apply but is still required, just put "n/a" as the answer.

Thank you!