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Personal History Checklist for Adults

John A. Schinka, PhD

Purpose:
Facilitates completion of personal history during intake
Format:
Paper and pencil
Age range:
18 years to 60 years
Time:
Varies
Qualification level:
A
A
No special qualifications are required, although the range of products eligible for purchase is limited. Close

Gather a Client's Personal History to Aid in the Intake Process

 

Checklist for Adults obtains a personal history of those over 18.

Features and benefits

  • A 119-item survey.
  • Gathers a personal history of adult clients.
  • Reviews the presenting problem and provides information about the client’s personal information; background history; developmental history; family history; educational history; occupational history; and health, habits, and behavior.
  • Typically used for intake or to provide the client’s personal history and background in written documentation.