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What brings you here? Pick any that fit.
How would you plan to pay?

Please keep this brief and leave out clinical detail — this form is not a secure medical record.

A short self-check

Is EMDR the right tool for this?

Six statements. Answer how it has been over the last month.

  1. A memory still feels like it's happening now.
  2. You avoid places, people or conversations because of what they bring up.
  3. You know it's over and your body disagrees.
  4. You react faster than you can think, then wonder why.
  5. Sleep is broken, or the nights are worse than the days.
  6. You've talked it through and nothing shifted.

Answered 0 of 6.

This is not a diagnostic tool and it does not screen for anything. It is a prompt for a conversation, nothing more.