Participant Date of birth (this is used to make sure the user is assigned the correct program)
How did you hear about us?
Can the participant safely perform physical activities such as standing on one leg, marching, turning, bending at the waist? If you are unsure please consult your Doctor.
This training is solely to explain how to use the software for the Self Guided EMDR process. The responsibility for ensuring suitability for the process and also any support required during the process is with the user. However it is specifically not recommended to use of Self-EMDR with a current or recent episode of clinical depression, suicidality, psychosis, bipolar disorder, schizoaffective or dissociative disorders, borderline personality disorder or unstable substance abuse. These conditions require treatment supervised by an appropriately qualified mental health specialist. The client confirms that they fully understand this.