Admin: Counseling Report

Counseling Report

Counselor's Name(Required)

First Last

Email Address(Required)

You will receive a copy of this counseling report for your own records.

Counseling Assistants?(Required)

If you had the assistance of any other counselors, then select "Yes" and add their names below. Use the "+" icon to add more rows for names, if needed.

No
Yes

Counseling Assistant Name(s)(Required)

First	Last

Report Details

Person's Name(Required)

The name of the individual you met with.

First Last

Purpose(Required)

STEPS Status(Required)

Discipleship Videos Covered(Required)

Step(s) Covered(Required)

Other Purpose(Required)

More than one person in this counseling report?(Required)

If this report is about meeting with more than one person (i.e., a spouse) then select "Yes" and add their names below. Use the "+" icon to add more rows for names, if needed.

No
Yes

Others Present(Required)

First	Last

Meeting Date(Required)

Meeting Place(Required)

Meeting Notes(Required)

Do you have another meeting setup?(Required)

Yes
No
Not Needed

Next Meeting Date(Required)

Counseling Report

Report Details

Title