​1. Have you experienced a specific traumatic event or memory that still feels unresolved?

1. Yes

2. No

3. I’m not sure

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2. Are you looking for faster results than weekly therapy can typically offer?

1. Yes, I want to make significant progress quickly

2. No, I prefer a slower, ongoing approach

3. I’m not sure

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3. Have you tried talk therapy before, but feel like you’re not getting to the root of the issue?

1. Yes

2. No

3. I haven’t tried therapy yet

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4. Do you have a limited amount of time available for therapy due to work, family, or travel?

1. Yes, time is limited

2. No, I have flexibility

3. Somewhat

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5. Are you emotionally and physically able to handle a longer, more focused therapy session (2-6 hours in a day)?

1. Yes, I feel ready for that level of work

2. No, that sounds overwhelming right now

3. I’m not sure, I’d like to talk to someone about it

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6. Do you have a good support system or follow-up care available after doing deep emotional work?

1. Yes

2. No

3. I might need help with this

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7. Are you motivated to address long-standing patterns, beliefs, or trauma with the help of a structured and effective method?

1. Yes

2. No

3. Somewhat

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8. What is your main goal in considering an EMDR intensive? (Choose the one that fits best)

1. To work through a specific trauma or issue

2. To accelerate personal growth or healing

3. To supplement my ongoing therapy

4. I’m just exploring my options