Pre Interview Questionnaire

Pre-Interview Questionnaire

Full Name : *

Address *

Email: *

Mobile Number: *

What is your current registration status? *

Provisional Psychologist with AHPRAGeneral Registration with AHPRAClinical Registration with AHPRARegistration as a counsellor Other

If you have selected provisional Registration, please state your pathway and expected date of full registration

If you have stated Counsellor, please indicate which governing body you are registered with

Select the presenting issues you can help clients with *

AddictionADHDAggressionAnger ManagementAnxietyAssessments and ReportsAutismBipolarChild Counselling 5 - 8 yearsChild Counselling 9 - 12 yearsChild Counselling 13 - 17 yearsCouples CounsellingDepressionElderly and Aged careEating DisordersFamily CounsellingForensic PsychologyGrief & LossHoardingIntellectual/Learning DisabilitiesOCDPain ManagementParentingPersonality DisordersPTSDRelationshipsSchizophreniaSelf-EsteemSelf HarmSports PsychologyStressTerminal IllnessTraumaWeight ManagementWorkplace Issues

State any additional presenting issues you are able to assist with

Please select your preferred treatment approaches where you have specific expertise

ACT (Acceptance & Commitment)ABA (Applied Behavioural Analysis)Art TherapyAttachment BasedChristian CounsellingCoachingCBT (Cognitive Behavioural Therapy)Compassion FocusedDBT (Dialectical Behaviour Therapy)ERP (Exposure Response Therapy)Forensic PsychologyGottman MethodHypnotherapyPlay TherapyPsychodynamicREBT (Rational Emotive Behaviour)Schema TherapySFBT (Solution Focused Brief Therapy)Trauma Focused

State any additional approaches you can assist with in Therapy

What client types are you able to assist with?

Medicare NDISEAPWorksafeTACDVAVocat

What strengths do you possess that you could be bring to this role? *

What interests you in this role? *

Do you speak any languages, other than english? *

Which days are you available to work? *

MondayTuesdayWednesdayThursdayFridaySaturday

Please advise of details for 2 reference checks *

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