Online Pre-Screening Online Pre-Screening Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 14 Pre-Screening Questionnaire The questionnaire will help to see if you qualify for the benefits of a Housing & Travel Letter. In less than 24 hours you can have a completely Legal Housing & Travel Letter sent to you, all from the comfort of your home. Licensed in your state. Our licensed therapists are extensively vetted and in good standing Match to your needs. We ensure they have the right experience to handle your needs Meet any timeline. Our deep network of therapists means we can meet any timeline GET STARTEDFirst, let us start by asking you a few questions about you and your pet.... What is your first name? *NextDo you have a pet? Do you have a pet? *YesNoPreviousNextWhat type of pet do you have? What type of pet do you have? *DogCatOtherPreviousNextWhat is your pet's name? What is your pet's name? *PreviousNextNext, let me find out how you have been feeling lately.... In the past (2) weeks, have you been under high levels of Stress? *NeverRarelySometimesOftenAlwaysPreviousNextIn the past (2) weeks, have you felt depressed and or sad? In the past (2) weeks, have you felt depressed and or sad? *NeverRarelySometimesOftenAlwaysPreviousNextIn the past (2) weeks, how often have you felt more tense and up tight than usual? In the past (2) weeks, how often have you felt more tense and up tight than usual? *NeverRarelySometimesOftenAlwaysPreviousNextOver the past (2) weeks, have you experienced anxiety, felt worried or anxious? Over the past (2) weeks, have you experienced anxiety, felt worried or anxious? *NeverRarelySometimesOftenAlwaysPreviousNextIn the past (2) weeks, how often have you felt panicked or afraid? In the past (2) weeks, how often have you felt panicked or afraid? *NeverRarelySometimesOftenAlwaysPreviousNextNext, lets talk about any behavioral changes you might be experiencing... Over the past (2) weeks, how often has your stress level interfered with your sleep? (Sleeping too little or too much) *NeverRarelySometimesOftenAlwaysPreviousNextIn the past (2) weeks, have you been acting impulsively? (Sudden use of drugs or alcohol, spending money erratically, feeling invincible) In the past (2) weeks, have you been acting impulsively? (Sudden use of drugs or alcohol, spending money erratically, feeling invincible) *NeverRarelySometimesOftenAlwaysPreviousNextIn the past (2) weeks, have you been prone to outbursts, mood swings or periods of negativity? In the past (2) weeks, have you been prone to outbursts, mood swings or periods of negativity? *NeverRarelySometimesOftenAlwaysPreviousNextWe're done! We have completed the online questionnaire. Please enter your email & phone number below to get your results :Email *Phone *Submit
