Christian Assessment & After Action Form
TO HELP IN THE GUIDING OF YOUR QUEST TO SEEK GOD’S ISAIAH 9:6 WONDERFUL COUNSEL

BEHAVIOR
Focuses on observable behavior and assess whether helpful or harmful.
Defines key behavior patterns around problems issues.
Notes behavioral strengths and deficits.
EMOTIONS
Assess primary emotional disturbances and the emotional patterns.
Describes desired feelings.
How do clients value emotions in relation to beliefs, thoughts, and behavior”
How do emotional themes reveal relations with God?
COGNITION
Assesses thought content and process.
What are the lies and/or distortions that animate this client?
Reasoning ability?
Psychotic or delusional symptoms? Self-talk? hearing things?
Is client imagery helpful or traumatic?
What is the content, intensity, and frequency of imagery?
1 Corinthians 10:13, “There hath no temptation taken you but such as is common to man: but God is faithful, who will not suffer you to be tempted above that ye are able; but will with the temptation also make a way to escape, that ye may be able to bear it.”
Psalms 139:23, “Search me, O God, and know my heart: try me, and know my thoughts”
James 1:19-20, “19 Wherefore, my beloved brethren, let every man be swift to hear, slow to speak, slow to wrath: 20 For the wrath of man worketh not the righteousness of God.”
Romans 1:28, “28 And even as they did not like to retain God in their knowledge, God gave them over to a reprobate mind, to do those things which are not convenient”.
Proverbs 14:12-13, “12 There is a way which seemeth right unto a man, but the end thereof are the ways of death. 13 Even in laughter the heart is sorrowful; and the end of that mirth is heaviness.”
Daniel 4:34, “And at the end of the days I Nebuchadnezzar lifted up mine eyes unto heaven, and mine understanding (my sanity) returned unto me, and I blessed the most High, and I praised and honored him that liveth for ever, whose dominion is an everlasting dominion, and his kingdom is from generation to generation”.
OVERALL HEALTH
What is the client’s overall health status?
Notes medical problems and physicians’s care.
Notes sensory/somatic complaints and social interactions, whether for better or for worse.
Assess sleeping, eating, and exercise habits and conditions. Is a physicians referral called for?
RELIGION
What is the client’s relationship with Christ?
Saved or not?
Maturing or not?
Assesses Church life and Christian practices.
Conducts a biblical analysis of problem and behavior.
Assesses receptivity versus resistance to Spiritual interventions.
CONFESSED OR POTENTIAL IDOLS
What desires and values compete with God and his priorities?
What values line up with biblically and need strengthening?
How are problems related to call conflicts and discrepancies, Biblically understood?
SUBSTANCE ABUSE, ALCOHOL,OR DRUGS
Assesses what drugs client is taking, both prescribed and or illicit.
What are drug interactions?
Does the client need a physicians referral for psychotropic meds?
Does the client need a program for detox and substance-abuse treatment?
TEACHABILITY
Is the client motivated or resistant, and is the motivation global or specific, dependent on the problem or other variables?
Hope versus hopelessness?
Hoes the client trust the counselor?
Are there prejudice, ethnic, age, or gender differences that have a problem that need to be bridged?
1 Kings 19:4-7, “4c…now, O Lord, take away my life; for I am not better than my fathers.
5 And as he lay and slept under a juniper tree, behold, then an angel touched him, and said unto him, Arise and eat.
6 And he looked, and, behold, there was a cake baken on the coals, and a cruse of water at his head. And he did eat and drink, and laid him down again.
7 And the angel of the Lord came again the second time, and touched him, and said, Arise and eat; because the journey is too great for thee.”
Luke 8:4-8, “5 A sower went out to sow his seed: and as he sowed, some fell by the way side; and it was trodden down, and the fowls of the air devoured it.
6 And some fell upon a rock; and as soon as it was sprung up, it withered away, because it lacked moisture.
7 And some fell among thorns; and the thorns sprang up with it, and choked it.
8 And other fell on good ground, and sprang up, and bare fruit an hundredfold. And when he had said these things, he cried, He that hath ears to hear, let him hear.”
Luke 18:22, “…Yet lackest thou one thing: sell all that thou hast, and distribute unto the poor, and thou shalt have treasure in heaven: and come, follow me.”
Leviticus 26:1, “Ye shall make you no idols nor graven image, neither rear you up a standing image, neither shall ye set up any image of stone in your land, to bow down unto it: for I am the LORD your God.”
Luke 10:27, “…Thou shalt love the Lord thy God with all thy heart, and with all thy soul, and with all thy strength, and with all thy mind; and thy neighbour as thyself.”
Ephesians 5:18, “ And be not drunk with wine, wherein is excess; but be filled with the Spirit…”
Romans 6:14, “For sin shall not have dominion over you: for ye are not under the law, but under grace.”
Proverbs 15:22, “Without counsel purposes are disappointed: but in the multitude of counselors they are established.”
LAWS/ETHICS
Assesses whether the client is a danger to self, others, or damage of property.
Any current legal trouble?
Any other red-flag issues that demand immediate attention?
Does the client need to be referred to a lawyer?
INTERPERSONAL
Describes current issues and history with family and friends rich or deficient in these areas?
Who is the best and worst family member?
Best and worst friend?
What are the best and worst traits in the father and mother, etc?
Describe spousal relations, satisfying and dissatisfying.
Describe behavior and problems -infidelity, thoughts etc.
KNOWLEDGE
Does client have sufficient knowledge and skill to change?
Assesses skill strengths and deficits.
Notes formal education and what, if anything, client does to improve knowledge.
Considers resources for further learning, formal and informal.
ENVIROMENT
What are the external obstacles and reaction triggers?
What strengths and resources are available to the client?
What is the client’s locus of control—does he/she perceive he/she is controlled by events or free to influence them?
Romans 13”1, “Let every soul be subject unto the higher powers. For there is no power but of God: the powers that be are ordained of God.”
Galatians 6:2, “Bear ye one another's burdens, and so fulfill the law of Christ.”
John 13:34-35, “34 A new commandment I give unto you, That ye love one another; as I have loved you, that ye also love one another. 35 By this shall all men know that ye are my disciples, if ye have love one to another.”
Matthew 7:12, “Therefore all things whatsoever ye would that men should do to you, do ye even so to them: for this is the law and the prophets.”
Proverbs 23:23, “Buy the truth, and sell it not; also wisdom, and instruction, and understanding.”
1 Corinthians 15:33, “Do not be deceived: ‘Evil company corrupts good habits.’”