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Information About You Questionnaire

Once your referral has been reviewed the service will send you a Welcome Booklet through the post, this booklet will contain details of how to access and complete the form.

To make sure there is plenty of time during the consultation or programme to focus on what matters most to you, the service asks that this form is completed beforehand. The form provides detailed background information and helps the team understand how you are at present. Any particular difficulties can then be explored further during the first consultation.

The form includes questions about different areas of life, such as daily activities and mood. This is not because the service assumes there is a mental health problem, but because living with a long-term health condition can affect how someone feels and many other aspects of life.

Completing the form as accurately as possible will help the clinician work with the person to provide the best support.

If you need help completing the form, or an alternative format, please contact us and we’ll be happy to provide support.

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