Prescreening: 0% Complete
Getting Started
You’re well on your way to getting a legitimate ESA Letter Consultation from a licensed mental health professional and all done from the comfort of your home.
Just complete this simple, but thorough, pre-screening.
If you qualify you will have the option to purchase an ESA Letter Consultation and get connected with a Licensed Mental Health professional.
Ready to get started? Click "Next" to continue.
Prescreening: 13% Complete
Personal Details
What is your first name?This field is required
Where are you from?This field is required
Prescreening: 25% Complete
Your Pet Info
Do you have a pet?This field is required
What type of pet do you have?This field is required
What is your pet's name?
Prescreening: 38% Complete
How are you feeling lately?
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 field is required
Over the past two (2) weeks, how often have you felt sad or depressed?This field is required
Over the past two (2) weeks, how often have you felt more angry or more irritated than usual?This field is required
Prescreening: 50% Complete
Your Behavior
Over the past two (2) weeks, how often have you felt worried, anxious, or on edge?This field is required
Over the past two (2) weeks, how often have you felt afraid or panicked?This field is required
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 field is required
Over the past two (2) weeks, how often have you had irregular sleep? (Sleeping too much or too little)This field is required
Prescreening: 63% Complete
Your Symptoms
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 field is required
Over the past two (2) weeks, how often have you avoided situations that make you nervous?This field is required
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 field is required
Over the past two (2) weeks, how often have you felt paranoid or fearful you are in danger?This field is required
Prescreening: 75% Complete
Over the past two (2) weeks, have you had thoughts of suicide?This field is required
Did your thoughts include a plan or intent to commit suicide?This field is required
Prescreening: 88% Complete
We're Done
We've finished the diagnostic portion of the screening.
Please enter your email to see your results:This must be a valid email.
Prescreening: 100% Complete
Congratulations! You are a Good Candidate for an Emotional Support Animal Letter.
Which ESA Letter would you like?
Which ESA Letter would you like?