This form is for you — not for anyone else.

If you’ve ever sat in front of a therapist and didn’t know where to start, this is your prep sheet. It’s designed to help you say what you’ve never said out loud — clearly, safely, and without pressure.

You can use this form to organize your thoughts before therapy, send it to a counselor, or just read it yourself when you’re ready. No judgment. No fluff. Just your truth — structured in a way that makes it easier to process and share.

You can fill this out as many times as you need.
Every entry is private, secure, and fully encrypted.