HomeAppointment preparation

Put your thoughts into words

Prepare a note to bring to a doctor or therapist. Answer whichever questions help; leave the rest blank.

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This tool needs JavaScript to make your summary. You can use the copyable appointment note in our guide instead.

Your appointment notes

Everything is optional. Short answers are fine. Please leave out names, contact details and other identifying information.

What would you like help with?

Use your own words. You do not need a phobia name.

How long has this been happening?

A rough idea is fine.

What happens when the fear comes up?

You can mention thoughts, feelings or physical sensations.

What is the lead-up like?

For example, worry before an appointment or trip.

What has it made difficult?

Something you have avoided, delayed or struggled through.

What have you tried so far?

Include what helped or did not help, if you want to.

What would you like help to change?

Something you would like more room for in your life.

What would you like to ask?

Your questions about support, assessment or the next step.

Ready to bring with you

Your summary

Updates as you type, using only your words. Check it before sharing. To change something, edit your answers.

Printing opens your device’s print options; choose “Save as PDF” if available. Copies, PDFs and printouts are yours to keep secure. Clearing this page does not remove them or clear your clipboard.

This tool arranges your notes. It does not assess symptoms, give a diagnosis or recommend treatment. No one monitors your answers.

A starting point, not a test

You do not have to finish every question or find the perfect explanation. Our guide to talking to a doctor covers what to say and what to ask before leaving.

Preparing concerns and questions ahead of a visit is recommended by NIMH. These prompts are our conversation aid, not a clinically validated questionnaire. Consider bringing a separate list of medicines and supplements to your appointment.

We do not store answers in cookies, browser storage, a database or the page URL. Your browser, keyboard software or extensions may have their own features; avoid entering information on a shared device. Read our privacy information.

No appointment notes have been entered.