Support Pets Facebook (Home2) 1-30-19 - 3-31-23

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To qualify, what type of pet(s) do you have?* This field is required.

DOG

CAT

BOTH

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And how many pets do you have?* This field is required.

1 PET

2 PETS

OVER 2

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Does being with your pet make you feel happy?* This field is required.

Yes, Happy

Not so much

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Does being with your pet help reduce your stress?* This field is required.

Yes, it does

Not really

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Do you ever feel sad when you're not with your pet?* This field is required.

Yes, I Get Sad

No, I don't

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Are you over 18 years old?* This field is required.Must be over 18 for ESA request

YESNO

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Did any major life events happen in the past 12 months that caused you extra stress?* This field is required.*SUCH AS: divorce, a breakup, financial trouble, unemployment, or death.

YESNO

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In the last 2 weeks, how often have you had less interest or pleasure in doing things you usually like to do?* This field is required.

NEVER

SOMETIMES

OFTEN

ALWAYS

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In the last two 2 weeks, how often have you felt sad?* This field is required.

NEVER

SOMETIMES

OFTEN

ALWAYS

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In the last 2 weeks, have you felt any angrier, grouchy or more irritated than usual?* This field is required.

NEVER

SOMETIMES

OFTEN

ALWAYS

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In the last 2 weeks, how often have you felt worried, anxious, or on edge?* This field is required.

NEVER

SOMETIMES

OFTEN

ALWAYS

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In the last 2 weeks, how often have you felt afraid or panicked?* This field is required.

NEVER

SOMETIMES

OFTEN

ALWAYS

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In the last 2 weeks, how often have you had irregular sleep?* This field is required.(Sleeping too much or too little)

NEVER

SOMETIMES

OFTEN

ALWAYS

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In the last 2 weeks, have you been prone to outbursts, mood swings or periods of negativity?* This field is required.

NEVER

SOMETIMES

OFTEN

ALWAYS

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In the last 2 weeks, how often have you been acting impulsively?* This field is required.Shopping too much, sudden use of drugs, alcohol or taking dangerous risks

NEVER

SOMETIMES

OFTEN

ALWAYS

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Hang in there. You're almost done!

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In the last 2 weeks, how often have you experienced unexplained aches and pains?* This field is required.Example: head, back, joints, abdomen and/or legs

NEVER

SOMETIMES

OFTEN

ALWAYS

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In the last 2 weeks have you felt that your illnesses are not being taken seriously?* This field is required.

NEVER

SOMETIMES

OFTEN

ALWAYS

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In the last 2 weeks, how often have you avoided situations that make you nervous?* This field is required.

NEVER

SOMETIMES

OFTEN

ALWAYS

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In the last 2 weeks, how often have you felt paranoid?* This field is required.

NEVER

SOMETIMES

OFTEN

ALWAYS

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In the last 2 weeks, have you had compulsive feelings to perform certain behaviors or mental acts over and over again?* This field is required.

NEVER

SOMETIMES

OFTEN

ALWAYS

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In the last 2 weeks, have you had problems with memory?* This field is required.Example: Remembering new information, finding your way home

NEVER

SOMETIMES

OFTEN

ALWAYS

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In the last 2 weeks, have you felt detached or distant from yourself or other people?* This field is required.

NEVER

SOMETIMES

OFTEN

ALWAYS

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I'm sorry, but you do not qualify for an ESA.

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Describe in detail how your pet(s) help you with reducing stress and anxiety in your life?* This field is required.This is required for ESA approval.

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Were you aware that pets with ESA approval fly for free, can go inside the terminal and join you at your seat?* This field is required.

No, but that's awesomeYes, I knew that

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Did you know Pets with ESA approval can live in pet restricted properties and don’t require security deposits or monthly fees?* This field is required.

No, but that's greatYes, I knew that

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Were you aware that if you're currently paying a monthly pet fee where you live an ESA approval can eliminate that?* This field is required.

No, but that's superYes, I knew that

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Did you know that many restaurants, stores, hotels, buses, trains and ride share services are more welcoming to ESA approved pets?* This field is required.

No, but that's helpfulYes, I knew that

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Are you aware US Congress is trying to change the ESA laws that will make it harder and more costly to get approved?* This field is required.Get in before the change.

No, but good to knowYes, I heard that

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What type is your main pet?* This field is required.

DOG

CAT

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Provide some details about your main pet* This field is required.Please double check your spelling here.

Pet Name

Pet Breed

Pet Weight in lbs.

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What type is your second pet?* This field is required.

DOG

CAT

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Provide some details about your second pet* This field is required.Please double check your spelling here.

Pet Name

Pet Breed

Pet Weight in lbs.

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Do you want your ESA Approval for Housing, Travel or Both?* This field is required.

HOUSING

TRAVEL

BOTH

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Are you moving in the next 2 Months?* This field is required.

YESNO

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Will you be planning any trips in the next 2 Months?* This field is required.

YESNO

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Are you the pet owner a male or female?* This field is required.Is the human male or female not the pet

MALEFEMALE

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Enter your full name to be listed on your ESA Documentation?* This field is required.Now, enter your first and last name.

First Name

Last Name

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What's your phone number?* This field is required.On occasions there might be a follow-up question, or access to special promotions.

Please enter your phone

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What state do you live in?* This field is required.

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Lastly, enter your email to see results now!* This field is required.By submitting you are agreeing to the terms of the website and to be contacted by email, phone and/or sms.

[email protected]

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