Clinical Evaluation v3.3 Step 1/15

Support Companion

Which animal assists with your symptoms?

🐶Dog
🐱Cat
🐰Rabbit
🦜Bird
🐹Small Pet
🐾Other

Jurisdiction

Select your state of residence.

In the past 2 weeks, how often have you felt nervous or on edge?

Never / No
Sometimes
Often / Yes

Not being able to stop or control worrying?

Never / No
Sometimes
Often / Yes

Worrying too much about different things?

Never / No
Sometimes
Often / Yes

Little interest or pleasure in doing things?

Never / No
Sometimes
Often / Yes

Feeling down, depressed, or hopeless?

Never / No
Sometimes
Often / Yes

Trouble falling or staying asleep?

Never / No
Sometimes
Often / Yes

Feeling tired or having little energy?

Never / No
Sometimes
Often / Yes

Poor appetite or overeating?

Never / No
Sometimes
Often / Yes

Trouble concentrating on things?

Never / No
Sometimes
Often / Yes

Do you avoid social situations due to anxiety?

Never / No
Sometimes
Often / Yes

Do symptoms limit daily life activities?

Never / No
Sometimes
Often / Yes

Does your animal mitigate these symptoms?

Never / No
Sometimes
Often / Yes

Analysis Complete

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