Admin: Counseling Report

Counseling Report

Counselor's Name*

First Last

Email Address*

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

Counseling Assistants?*

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)*

First	Last

Report Details

Person's Name*

The name of the individual you met with.

First Last

Purpose*

STEPS Status*

Discipleship Videos Covered*

Other Purpose*

More than one person in this counseling report?*

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*

First	Last

Meeting Date*

Meeting Place*

Meeting Notes*

Do you have another meeting setup?*

Yes
No
Not Needed

Next Meeting Date*

Counseling Report

Report Details

Title