Personal Questionnaire

Your time with Emory is valuable to you, and you want your appointments with her to be useful and helpful from the start.  For this reason, Emory has created an optional Personal Questionnaire that asks many basic, but important, questions.  You can fill out Emory’s “Personal Questionnaire” online, or download the questionnaire document as either a DOCX or PDF file to e-mail to her when you are finished. Emory will need some time to read your questionnaire responses carefully and thoughtfully, so please try to send it to her about 24 hours before your first scheduled appointment.

Online Personal Questionnaire

Family Questionnaire

The way Emory works is a bit different from most other family therapists and parent coaches. She makes your first consultation with her even more valuable for you by inviting you to fill out her Family Questionnaire in advance.  The questions you answer give her a comprehensive view of your family’s unique personalities, your daily routines, and other basic, but valuable, information.  This information enables Emory to focus on the areas that will be the most useful and interesting for you.  You can fill out her Family Questionnaire online here, or download the questionnaire document as either a DOCX or PDF file and e-mail it to her when you have completed it.

Emory will need some time to read your questionnaire responses carefully and thoughtfully, so please try to send it to her about 24 hours before your first scheduled appointment.

Online Family Questionnaire

Client Feedback Form

Emory often talks and writes about having a friendly attitude towards mistakes, an important part of the confidence to learn and improve.  You can help Emory learn and improve her services by giving her the following useful feedback.  Please note that this form is confidential, unless you wish to add your name.

Online Client Feedback Form