This short survey will take 5-15 minutes to complete.
At the end of this survey your clinician may be able to see a copy of your survey responses and an associated report.
By clicking on the "Agree" button below, you are acknowledging that you are at least 18 years of age and that you agree that Health Outcomes, Inc. dba TeleSage disclaim any liability for loss, or other adverse events that might occur as a consequence, directly or indirectly, from the use or misuse of this survey, and that you are willing to allow your de-identified data to be used for research purposes.
Please review the TeleSage Privacy Policy and Terms of Use for more details.
If you have any immediate concerns about your physical or emotional health, please consult a physician or other health care provider directly.