A Journey Through Your Developmental Cycles
An Integrated Questionnaire for Developmental History & Needs Assessment
Based on the “Ages and Stages” model from Growing Up Againby Jean Illsley Clarke & Connie Dawson and “Cycles of Power” by Pamela Levin
Introduction
This questionnaire is a collaborative tool for us to explore the seasons of your life. Life unfolds in cycles, and in each stage, we have specific needs and learning tasks. Sometimes, needs from childhood remain unmet, and these gaps can affect our adult lives.
This worksheet is not a test, but a tool for us to explore your life journey together. It is based on the idea that we all move through different developmental stages, each with its own important tasks and needs. By gently exploring your history, we can identify your unique strengths, understand the roots of current challenges, and find ways to provide your “inner child” with the support they may still need.
This understanding can help us create a meaningful and effective plan for your therapy. Please answer as best as you can, and know that it's perfectly okay if you don't remember everything. The feelings and impressions that come up are just as important as the memories. Please answer with your first impressions, knowing there are no right or wrong answers.
This journey is not about blame or finding fault; it's about discovery and recovery.