Procrastination Counselling Drive Pre Form Procrastination Drive Pre-Test Full Name * Phone * Email * Is Procrastination the primary challenge that you would like to address? * Yes No What tasks do you generally procrastinate? * You can add multiple situations/triggers For each of the statements below decide how accurately it describes you by choosing the right option. I often fail to meet deadlines * Describes me perfectly Often true of me Sometimes true of me Rarely true of me Almost never true of me I get started on tasks/projects at the last minute * Describes me perfectly Often true of me Sometimes true of me Rarely true of me Almost never true of me I rarely get tasks accomplished on time * Describes me perfectly Often true of me Sometimes true of me Rarely true of me Almost never true of me I have difficulty making up my mind * Describes me perfectly Often true of me Sometimes true of me Rarely true of me Almost never true of me I feel overwhelmed by my daily tasks * Describes me perfectly Often true of me Sometimes true of me Rarely true of me Almost never true of me I delay making decisions * Describes me perfectly Often true of me Sometimes true of me Rarely true of me Almost never true of me If it is not the best, it’s not good enough * Describes me perfectly Often true of me Sometimes true of me Rarely true of me Almost never true of me Describe in your words the outcome you are looking for through these sessions * Therapists Name * If you are human, leave this field blank. Submit Δ
