After signing up for the course, you will be prompted to complete an intake form and initial baseline questionnaire in order to assess a baseline for your emotional, mental, and physical well-being at the start of this course. It will be presented again at course completion as a means to establish improved outcomes and future recommendations.
Data will be provided to your therapist at your request for use in your individual, couples, or relationship therapy sessions.
The questionnaire you will complete was created using compiled data from the questionnaires below as references. If you would like to review these in greater depth, the links have been provided below for your use:
Five Facet Mindfulness Questionnaire (Baer et al., 2022)
Dissociative Experiences Scale-II (Carlson & Putnam, 1993)
Couples Satisfaction Index (Funk & Rogge, 2007).
Multidimensional Sexuality Questionnaire (Snell et al., 1993)
Heartland Forgiveness Scale (Thompson et al., 2005)
References:
Baer, R., Gu, J., & Strauss, C. (2022). Five facet mindfulness questionnaire (FFMQ). In O. N. Medvedev, C. U. Krägeloh, R. J. Siegert & N. N. Singh (Eds.), Handbook of assessment in mindfulness research (pp. 1-23). Springer International Publishing. https://10.1007/978-3-030-77644-2_15-1
Carlson, E., & Putnam, F. (1993). An update on the dissociative experiences scale. Dissociation: Progress in the Dissociative Disorders, 6, 16–27.
Funk, J. L. & Rogge, R. D. (2007). Testing the ruler with item response theory: Increasing precision of measurement for relationship satisfaction with the Couples Satisfaction Index. Journal of Family Psychology, 21, 572-583.
Snell, W., Fisher, T., & Walters, A. (1993). The multidimensional sexuality questionnaire: An objective self-report measure of psychological tendencies associated with human sexuality. Annals of Sex Research, 6, 27-55. https://10.1007/BF00849744
Thompson, L. Y., Snyder, C. R., Hoffman, L., Michael, S. T., Rasmussen, H. N., Billings, L. S., Heinze, L., Neufeld, J. E., Shorey, H. S., Roberts, J. C., & Roberts, D. E. (2005). Dispositional forgiveness of self, others, and situations. Journal of Personality, 73(2), 313-359. https://10.1111/j.1467-6494.2005.00311.x
