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CertaPet Screening - Desktop - v4

Screening

This Pre-Screening is not intended to be a substitute for professional advice, diagnosis, or treatment. If you feel you’re experiencing a potentially life-threatening problem, please call 911 or the Suicide Prevention Lifeline at 1-800-273-TALK(8255).
3. Do you have a pet? *This question is required.
What type of pet do you have? *This question is required.
4.


Next, I’d like to find out a little bit more about how you’ve been feeling lately… 

Over the past two (2) weeks, how often have you had little interest or pleasure in doing things that you usually like to do?

*This question is required.
5. Over the past two (2) weeks, how often have you felt sad or depressed? *This question is required.
6. Over the past two (2) weeks, how often have you felt more angry or more irritated than usual? *This question is required.
7. Over the past two (2) weeks, how often have you felt worried, anxious, or on edge? *This question is required.
8. Over the past two (2) weeks, how often have you felt afraid or panicked? *This question is required.
9.
Next, let’s talk a little bit about any changes that you might be experiencing in your behavior… 

Over the past two (2) weeks, how often have you had irregular sleep? (Sleeping too much or too little) *This question is required.
10. Over the past two (2) weeks, how often have you been acting impulsively? (Shopping too much, sudden use of drugs or alcohol, feeling like you’re “on top of the world”) *This question is required.
11. Over the past two (2) weeks, how often have you avoided situations that make you nervous? *This question is required.
12.
Next, let’s talk about some other symptoms that you might be experiencing… 

Over the past two (2) weeks, how often have you heard things other people couldn’t hear and seen things other people couldn’t see? *This question is required.
13. Over the past two (2) weeks, how often have you felt paranoid or fearful you are in danger? *This question is required.
This question requires a valid email address.
Congratulations! You are a Good Candidate for an Emotional Support Animal Letter.


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