Kratochvil Health Kare
Michele Rosa Kratochvil MA, LMHC, NCC, LMT

Intake forms to be filled out for your first appointment


Folders - Phone coaching/consulting, contact us in Kissimmee, Florida, for Christian faith-based counseling or massage therapy services .

Print, and fill out at your own convenience.

   

Intake form for Adults

Intake form for Children and Adolescent

Informed Consent (only last page is needed to be filled out for your first session)


Client Satisfaction Survey

In order to evaluate my effectiveness and improve my clinical skills, it would help me a great deal if you would complete this questionnaire.  Your feedback is valuable to me.  Please do not sign your name.  This way you can feel free to be completely honest.  Please return via mail or fax.  Thank you.