fbpx

Online Pre-Screening

You are on your way to getting a legitimate ESA Letter from United Support Animals. In less than 24 hours you can have a completely Legal ESA Letter sent to you, all from the comfort of your home.
Take our Pre-Screening now to see if you qualify for an ESA Doctor's Letter
Yes No
0% Complete
First, let us start by asking you a few questions about you and your pet....

What is your first name? *

0% Complete
Do you have a pet?*
Yes No
0% Complete
What type of pet do you have?*
Dog Cat Other
0% Complete
What is your pet's name?*
0% Complete
Next, let me find out how you have been feeling lately....

In the past (2) weeks, have you been under high levels of Stress?*

Never Rarely Sometimes Often Always
0% Complete
In the past (2) weeks, have you felt depressed and or sad?
Never Rarely Sometimes Often Always
0% Complete
In the past (2) weeks, how often have you felt more tense and up tight than usual?
Never Rarely Sometimes Often Always
0% Complete
Over the past (2) weeks, have you experienced anxiety, felt worried or anxious?
Never Rarely Sometimes Often Always
0% Complete
In the past (2) weeks, how often have you felt panicked or afraid?
Never Rarely Sometimes Often Always
0% Complete
Next, lets talk about any behavioral changes you might be experiencing...

Over the past (2) weeks, how often has your stress level interfered with your sleep? (Sleeping too little or too much) *

Never Rarely Sometimes Often Always
0% Complete
In the past (2) weeks, have you been acting impulsively? (Sudden use of drugs or alcohol, spending money erratically, feeling invincible)
Never Rarely Sometimes Often Always
0% Complete
In the past (2) weeks, have you been prone to outbursts, mood swings or periods of negativity?
Never Rarely Sometimes Often Always
0% Complete
We're done! We have completed the online questionnaire.

Please enter your email and phone number below to get your results :

0% Complete

SOCIAL

SECURE ONLINE SHOPPING


© Copyright 2020 by United Support Animals. All Rights Reserved. Privacy Policy

×

A United Support Animal's agent will contact you shortly.