QUESTIONNAIRES.

Ask. Consider. Try. Change.

Questionnaires

PROSPECTIVE CLIENTS

 

These questionnaires can help us have a robust conversation to see if I am a good fit as your counselor. After you complete a questionnaire, I will review the results and then contact you to discuss how we might work together.

Although it is not always possible, I usually recommend that both partners in a couple be on the phone or video call to review the results. Extreme sensitivities may involved with such a discussion so I am happy to speak to one person at a time if that is your preference. Just let me know.

EXISTING CLIENTS


Both partners should complete the forms separately. Please tell me in advance which upcoming session that you would like to discuss the results and work together to develop a plan to address the important findings.

FORMAL ASSESSMENTS VERSUS QUESTIONNAIRES


The questionnaires listed below are not formal assessments but rather provide a helpful way to gain insight into your relationship and assist us in building the best therapy plan possible.

 

Formal assessments may be required for insurance purposes, for more difficult diagnoses, or for legal proceedings (such as a divorce) and can be conducted as needed.

Change begins by taking the first step.
Interested in (check all that apply):
When are you available?
How soon do you need to start?
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If you are in crisis, call the National Suicide Prevention Lifeline, a free, 24-hour hotline at 1.800.273.8255.  If your issue is an emergency, call 911 or go to your nearest emergency room.  Dr. Motro does not offer crisis counseling or emergency services.

Dr. Harry Motro, Marriage Counselor, is an employee of Harry Motro, Psy.D., Marriage and Family Therapist, P.C., which is a Professional Corporation.  Dr. Motro practices at 3880 South Bascom Drive, Suite 111, San Jose, CA,95124, is Licensed as a Marriage Family Therapist MFC 53452 and authorized to act as a Psychotherapist providing Psychotherapy. He specializes in Couples Counseling.   In addition to dealing with couples and relationship issues, Dr. Motro is trained to treat anxiety, panic attacks, post-traumatic stress disorder, depression, bi-polar, ADHD, Asperger's, sex difficulties, anger regulation issues, affair fallout, divorce recovery, self-esteem, addiction, co-dependency, trauma, abuse, eating disorders, and managing grief and loss. These issues often arise in couples counseling and will be dealt with as part of your therapy. If you search for counseling San Jose, marriage counselor San Jose, couples counselor San Jose, psychotherapy San Jose, psychotherapist San Jose, therapist San Jose, counselor San Jose, couples therapist San Jose, couples counselor San Jose, marriage therapy San Jose, life coach San Jose, career coach San Jose, executive coach San Jose, you can find Dr. Harry Motro's web site. In addition to serving San Jose, Harry serves clients in Campbell, Los Gatos, Saratoga, Willow Glen, Milpitas, Mountain View, Monte Sereno, Cupertino, Scotts Valley, Felton, Sunnyvale, Morgan Hill, Fremont, Los Altos, and Gilroy, California. Dr. Motro also provides  Mountain Bike Therapy. The recommendations on this website do not constitute professional advice, substitute for professional treatment, or establish a therapeutic relationship.

Harry Motro, Psy.D., Marriage and Family Therapist, P.C., www.harrymotro.com, harrymotro@gmail.com, 408 823 2822.

Rosario Puga-Dempsey, Associate Marriage and Family Therapist (117320), is supervised by and works for Harry Motro, Psy.D., Marriage and Family Therapist, P.C., (License #53452) which is a Professional Corporation. She can be reached at https://www.rosariopuga.com/. Her email is crc.rosariopuga@gmail.com and her phone # is 408 768 5300.

Dr. Harry Motro © 2009 - 2020. All rights reserved.