Pre-Qualifying Form for an Emotional Support Animal (ESA) at Next Generation Psychology
- Do you get anxious in: Social Situations? Crowds of people? Flying?
- Do you have issues: sleeping? Work stress? Family Issues? These must affect your life significantly?
- Does your animal help you to Sleep better? Concentrate at work or at home? Or your animal helps you to get out to Socialize more?
- If your animal helps you with any of symptoms in Section A,
- And at least one symptom in Section B;
You Are Prequalified For An Emotional Support Animal (ESA).
***Your email address/phone number will NOT put you on any marketing list. We use it simply to contact you to find the best price and solution for your situation.
If you don’t meet both; call us and we can discuss your symptoms and how your animal does help you.
Call us at 760-512-8787 to answer your questions more fully.
This prequalifying form is not meant to be a complete psychological evaluation. If you need help or having any thoughts of harming yourself call 911, or call the hotline at 1-800-273-8255, or go to your nearest ER.