COVID-19 Risk Assessment & Client Questionnaire

Safety Precautions during the COVID-19 Pandemic 

The health and safety of my clients and myself remains of paramount importance and I will set out to ensure that precautions are in place as best as possible. And as long as COVID-19 remains an active public health threat I will be taking some simple precautions to provide protection for both myself and my clients for face to face work.

It is important that I am transparent about the risk assessment process because you, as a client, have a part of play in the risk process. As a result, I must trust you and your ability to be equally as transparent.

The pandemic and risk of infection requires that I consider the risk of infection and, in addition, your mental health as a result of the risks and restrictions that the pandemic brings. It may not be reasonable or appropriate to offer a face to face session to some clients even after all possible precautions have been taken to reduce infection. I reserve the right to make this decision based on the facts at my disposal.

COVID-19 Pre-Screening Questionnaire (For a face to face appointment, please answer all of the following questions before each appointment)

1. Have you tested positive for Covid-19 in the last 14 days?
2. Are you waiting for a Covid-19 test or the results?
3. Do you have any of the following symptoms:

  • New, continuous cough (this means coughing for longer than an hour, or 3 or more coughing episodes in 24 hours).
  • High temperature or fever
  • Loss of, or change in, sense of smell or taste?

4. Do you live with someone who has either tested postitive for Covid-19 or  in the last 14 days?

5. In the past 14 days have you had close contact with anyone who has been diagnosed with COVID-19 or has had symptoms of Covid-19?

6. In the past 14 days have you visited or have you had close contact with anyone who has travelled to any other country?

7. During the last 14 days have you been notified by NHS Test and Trace that you are a contact of someone who has tested positive for COVID-19 (and you don’t live with that person)?

What do I do now?
If you have answered YES to any of these questions, you may need to defer your visit – please speak to your therapist about this.


Actions in reducing risk of contamination and spread before/during/after a session:

  • As your Counsellor I will endeavour to adhere to current government guidelines and should I come into contact with anyone who has tested positive or develop any symptoms I will notify you as soon as possible and either rearrange your appointment or offer  an online session instead.
  • I will wipe down chairs, door handles, office equipment and office  furniture every day with antibacterial cleaner.
  • I will disinfect the room before each new client arrives, I will keep the place well ventilated and hand sanitiser will be available at the entrance for you to use on arrival.
  • I will follow all regulatory requirements relating to social distancing.  Maintaining a minimum of two meters at all possible times.
  • I will open the door to the therapy room for you at the  beginning and end of the session.
  • The water/drinks will no longer be provided. Please bring your own water.
  • Also I encourage clients to bring own tissues and ask to take their tissues home  and dispose of them themselves in order to prevent other clients or myself coming in  contact with the contents.

Requirements from clients:

  • If you are feeling unwell or are displaying any symptoms of COVID-19, please do inform  me straight away. So I will either rearrange your appointment or  move your session to an online appointment.
  • For your safety please use your own toilet facilities at home before leaving  for the session.
  • Compliance with all regulatory requirements relating to social distancing.  Maintaining a minimum of two meters distance from therapists at all  times.
  • Allowing me to open the therapy room door for you upon arrival  and leaving.
  • Make use of the hand sanitiser provided at the entrance.
  • I ask you not to touch any surfaces in the therapy room (apart from your  chair/sofa).
  • If you choose to bring your own drink, please ensure the bottle/cup is taken  away with you.
  • Ensure that any tissues used are not left in the  therapy room.
  • Attend the appointment alone unless you need the help from your carer.
  • This is a period of rapid change for us, so please check the Government, NHS and Public Health  England websites to  make sure you are aware of the latest changes and information.