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Questionnaire

QuestionnaireB0zzMan2021-02-18T01:55:13+00:00

Step 1 of 7

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  • The exam below is a Psychological assessment evaluation and is comprised of 7 steps that are all required to be completed. It should take about 30 minutes to finish the exam. You must prepare yourself to complete the entire exam from start to finish, as there will be no way of saving your work and coming back to it later. Therefore, if you are not prepared to finish it in its entirety, please come back again when you have enough time to complete it. This exam is also MOBILE FRIENDLY so you will be able to use your phone if need be. Once you hit submit and complete your exam, please allow no longer than 2 business days for the mental health professional who reviews it to contact you with your results. If you are not approved, you will receive a same-day 100% refund.
  • Part I: Personal Information

  • This address will be used for shipping of hard copy documents.

  • PLEASE CONFIRM THE INFORMATION ABOVE REGARDING SPELLING OF YOUR NAME, DATE OF BIRTH, EMAIL ADDRESS, AND GENDER ARE ENTERED AND SPELLED CORRECTLY. ANY ERRORS WILL CAUSE COMPLICATIONS WITH THE APPROVAL PROCESS AND IF APPROVED, THERE WILL BE A $25 CHANGE/ EDIT FEE.


  • By filling out this online medical exam, I understand that by not providing as much detail as possible with the following answers, can result in denial and/ or significantly prolong the approval process.
  • Section 2: General and Mental Health

  • Section 3: General Medical History:

  • Section 4: Major Depression

  • Section 5: Generalized Anxiety & Panic Disorder

  • Section 6: Post Traumatic Stress Disorder

  • Section 7: SOCIAL PHOBIAS

    If you don’t have a dog, then check No.
  • Do you have or want more than 1 pet as an ESA? Get a discount of ONLY $99 for each additional pet!
    * We will email you an ESA PDF letter regardless of what option is selected. The Hardcopy of the ESA letter is printed on special 67lb weighted paper and should be used when traveling overseas.
  • Accepted file types: jpg, png, Max. file size: 2 MB.
  • Accepted file types: jpg, png, Max. file size: 2 MB.
  • Accepted file types: png, jpg, Max. file size: 2 MB.
    Do you want or need this approval process expedited to ensure that you get your approval letter within 24 hours if you are approved? Get your submission to the top for a rush fee of ONLY $49.95!
  • $0.00
  • BY SIGNING AND UNDER THE PENALTY OF PERJURY, I ACKNOWLEDGE THAT I HAVE ANSWERED THE QUESTIONS ON THIS QUESTIONNAIRE HONEST AND TRUTHFUL. BY SIGNING I UNDERSTAND THAT I AM GIVING MY CONSENT FOR GLOBAL PET LETTERS TO SUBMIT THIS QUESTIONNAIRE TO AN INDEPENDENT LICENSED MEDICAL PROFESSIONAL IN GLOBAL PET LETTER’S REFERRAL NETWORK TO REVIEW AND EVALUATE THIS QUESTIONNAIRE. BY SIGNING I UNDERSTAND IF I AM APPROVED FOR A PSYCHIATRIC SERVICE DOG, I WILL NOT BE ENTITLED TO ANY REFUND AMOUNT FOR ANY REASON.
  • Attention: You must submit payment in order for this medical exam to be evaluated.

What are the benefits of a Global Pet Letter?

Psychiatric service dogs can offer support to individuals experiencing such ailments through companionship and managing daily activities but you need a letter to enable them go everywhere with you.

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