Sexual Wellbeing Check-In
A private sexual wellbeing check-in rating desire, arousal, pleasure, comfort, communication, body image and safety, with goals for change.
1-page fillable PDF · US Letter (prints on A4) · Sex therapy · Assessment
- Approach / concern
- Sex Therapy
- Technique
- Sex therapy · Assessment
- Format
- Fillable PDF, 1 page (US Letter / A4)
- Access
- Advanced plan
- For
- Licensed clinicians to use with clients
- Updated
- October 2026
Key facts
What is the Sexual Wellbeing Check-In?
Sexual wellbeing is multidimensional and includes physical, emotional and relational aspects. A structured reflection helps clients identify concerns and goals comfortably.
Why it works
Nagoski (2021) describes sexual wellbeing as shaped by context and self-acceptance. Better sexual communication is associated with higher sexual satisfaction (Mallory et al., 2019).
When to use it
- Sex therapy intake
- General therapy where sexuality is relevant
- After medical changes
- Couples work
How to use it in session
- Complete privately.
- Rate each area.
- Identify priorities.
- Share what feels comfortable.
- Set goals.
Clinician tips
- Ask about safety and consent.
- Use inclusive language for all orientations and relationship styles.
- Sexual concerns can have medical causes; consider a medical check-up alongside therapy.
Worked example
Sharing with clients
Members can download the PDF to print or email, or copy a private client link from the download box. Your client opens the link and downloads the worksheet on any device. No client account is needed, and nothing your client writes is stored on TherapyAid.
Frequently asked questions
Do I have to share all my answers?
No. Share only what you’re comfortable with.
Is pain during sex normal?
Pain is common but not something to ignore; a health provider can help.
References
Nagoski, E. (2021). Come as you are: The surprising new science that will transform your sex life (Rev. ed.). Simon & Schuster.
Mallory, A. B., Stanton, A. M., & Handy, A. B. (2019). Couples’ sexual communication and dimensions of sexual function: A meta-analysis. Journal of Sex Research, 56(7), 882-898.
This worksheet is an educational tool for use by, or under the guidance of, a licensed or registered mental-health professional. It is not a diagnostic instrument or a substitute for clinical judgement. If a client is in crisis in Canada, call or text 9-8-8 or call 9-1-1.
