Individual Session-4 Types

[comment memo="Date"][date name="variable_1" default=""]
[comment memo="First Name"][text name="variable_2" default=""][comment memo="Last Name"] [text name="variable_3" default=""]
[conditional field="Q1" condition="(Q1).is('INTAKE')"][textarea default="BioSocial History"][textarea default="Interview and Assessment overview"]
[comment memo="Mini-Mental Status Exam: Appearance, Attitude, Behavior, Social Interaction, Motor Activity, Mood, Affect, Speech, Thought Process, Thought Content, Judgement/Insight"][textarea default=""][/conditional]
[conditional field="Q1" condition="(Q1).is('ORIENTATION')"][comment memo="Affect, Mood and Speech"][textarea default=""][textarea default="Orientation: Overview of Dialectical Behavior Therapy Model:"][textarea default="Where in orientation is client?"]
Has client defined their life worth living goal?
[select name="Q2" value="Yes|No|In Progress"][conditional field=Q2 condition="(Q2).is('Yes')"][textarea default="What is there life woth living goal?"][/conditional][/conditional]
[conditional field="Q1" condition="(Q1).is('CRISIS INTERVENTION')"][comment memo="Affect, Mood, and Speech"][textarea default=""][textarea default="Describe Crisis and Interventions Offered"]
Was a safety Plan created?[checkbox name="Q5" value="Yes|No"][conditional field="Q5" condition="(Q5).is('No')"][textarea name="Q6" default="If no safety plan ceated, explain reasoning"][/conditional][/conditional]
[conditional field="Q1" condition="(Q1).is('PSYCHOTHERAPY')"][comment memo="Affect, Mood, Speech"][textarea default=""][textarea default="Describe Interventions used during session."][textarea default="Describe Session Focus: Diary Card Completion, Any SI or Behavioral issues since last session][/conditional]
First NameLast Name

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Sandbox Metrics: Structured Data Index 0.21, 32 form elements, 2 boilerplate words, 2 text boxes, 13 text areas, 1 dates, 1 checkboxes, 2 drop downs, 7 comments, 6 conditionals, 20 total clicks
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