Pre-Assessment Questionnaire

Heal · Empower · Arise · Restore · Trust Yourself

⭐ The H.E.A.R.T. Group —
Now Accepting Applications

Once completed, this questionnaire will be securely submitted to Heather McCutcheon, LPC, APTT. I will review your responses prior to scheduling your required 15-minute pre-group assessment Zoom call.

🔒 Please note: While confidentiality is the cornerstone of all therapeutic groups, licensed therapists in the state of Texas are mandated reporters of child abuse (including sexual, physical, emotional, and neglect), elder abuse, and threats to harm self or others.