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Daily Session
Report
Name Of The Person You Spoke With
Email Id Of Person You Spoke With
Date
Time Of Session
Duration
The Client Displays Signs Of
Anger or Hostile Feelings
Sadness or Depression
Family / Relationship Issues
Professional / Work Issues
Social Conflicts
Sleep Disorder
Low Self Esteem / Confidence
Anxiety, Nervousness, Fears
Loss of Appetite
Procrastination
Shyness
Stress
Self-Control
Other Symptoms
None Of The Above
Challenges Faced / Special Notes (If any)
Was This Session a No Show?
*
Yes
No
Upload Time Stamped Screenshot.
In Case Of A No Show, Screenshot of 30 mins into session required.
Was this session a WhatsApp Call?
*
Yes
No
Upload a screenshot of the call duration
Lastly, does the client require crisis intervention?
*
Yes
No
*If you have selected Yes, please fill the Crisis Report
Your Name (Counsellor)
I agree to the terms of counselling and have abided by the norms set by The Good Wave Foundation
View T&C.
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