This “Relationship History” intake form is what we’ll begin working off of in our next session. The purpose of this form is to allow us to begin creating the framework for understanding what your relationship history with your body has been and has felt like for you.

Don’t fret over knowing what to say or having exactly accurate information — this is just to give us a bit of structure and guidance to start from. Please feel free to reach out to me and let me know if you need any clarification or have any questions as you’re working through this.

Engage with this exercise in whatever way makes you feel most comfortable — writing whatever it is that feels the most true.