Before you begin the InnerView Questionnaire,
we need to ensure that this service can meet your needs.


*Are you at risk of physically hurting yourself or someone else?  Yes  No

*Is your use of alcohol or drugs a major problem at this time?  Yes  No

*Are you currently experiencing physical, emotional, or sexual abuse? Yes  No

If you answered “no” to all of the above questions
you are invited to submit a InnerView Questionnaire.

InnerView Questionnaire