Interview with Couple Partner A Name What brings you here today? Why now? When did it start? What was going on at the time? When is it worse? When is it better? What do you do about it? What solutions to your problems have been most helpful? Who is most affected by the problem? By the solution? Who is the least affected by the problem? By the solution? How does it affect you? (Look for impact on the life tasks) Can you describe a specific example of how it affects you? Why do you think this is happening? If you could have your relationship, be the way you want it, what would it look like? Please fill up Partner B's form Partner B Name What brings you here today? Why now? When did it start? What was going on at the time? When is it worse? When is it better? What do you do about it? What solutions to your problems have been most helpful? Who is most affected by the problem? By the solution? Who is the least affected by the problem? By the solution? How does it affect you? (Look for impact on the life tasks) Can you describe a specific example of how it affects you? Why do you think this is happening? If you could have your relationship, be the way you want it, what would it look like? Click here to go to the next page.
