2 minutes to complete
An individual must be 18 years of age or older in order to fill out a Forensic Psychological Evaluations Form.
What is your name?
What is your date of birth?
What is your current address?
What is your phone number?
What is your email address?
What is your occupation?
What is your highest level of education?
Do you have any mental health diagnoses?
Do you have any history of violence or aggression?
Do you have any history of substance abuse?
Do you have any history of psychiatric hospitalization?
Do you have any history of self-harm or suicide attempts?
Do you have any current mental health symptoms?
Do you have any current legal problems?
Is there anything else you feel we should know about you?