Evaluation form

This is a form to fill out so that our professionals can make a preliminary evaluation of your situation.

Name*

Email*

Please check the boxes that you consider apply to your particular case.*

I tend to have anxiety frequently.

I often think about things that seem unacceptable to me.

I find it difficult to stop paying attention to a certain type of thought.

I feel guilt, shame, or frustration about the things I think about.

Thinking is my worst enemy.

I feel like I'm not in control of what I think.

I feel like a bad person for thinking about certain things.

I feel uncomfortable because I can't stop thinking about something in particular.

I try repeatedly to stop thinking about certain things but I can't.

I need to control what I think, otherwise I feel bad or vulnerable.

I feel like my thoughts are going to take over me or control me.

I am afraid of acting on my thoughts or not being able to control my behavior when I think about certain things.

I am having a hard time leading a normal life because of my thoughts.

Please, fill out this form and you will receive a response in less than 48h.