Our Screening Forms are designed to assist us in knowing more about you, your background, and what specific needs you wish to address. Any information received from these forms will be used for the expressed purpose of assisting you achieve your desired goals and is strictly confidential.
SCREENING SELECTION
- Feeling sad, blue, hopeless?
- Lost interest in the things you used to enjoy?
- Body aches and pains with no known physical cause?
- Mood swings from very high to extreme lows?
- Acting in a way that is reckless foolish or risky?
- So irritable that you shout at people and start arguments?
- Can't stop worrying?
- Restless and on-edge?
- Experiencing muscle pain, headaches, or stomach problems?
- Experienced or witnessed a traumatic or violent event?
- Having nightmares, flashbacks?
- Feeling emotional numbness?
CELEBRATING LIFE RESTORED THROUGH RESILIENCE!
CALL TODAY!
1-877-63RESET
(73738)
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IF YOU WOULD LIKE TO BEGIN COUNSELING SESSIONS, PLEASE TAKE A MOMENT TO READ OVER OUR BUSINESS FORMS AND FILL OUT THE RESET INTAKE AND BRING WITH YOU TO YOUR SESSION. THANK YOU.
