Assessment - Reboot Live

Our Treatments
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Our Treatments
Success stories

Help us match you with the right service

Please fill out this short questionnaire to provide some background information about you and the symptoms that concern you. It would help us match you with the most suitable service for you. Your answers will also give us a good starting point in getting to know you.

What is your gender identity?

Woman Man Non Binary Transfeminine Transmasculine Agender Prefer not to say Other

How old are you?

Do you fear unfamiliar people, situations and/or environments?

No Yes

Do you constantly worry, and the worry continues from one topic to the next?

No Yes

Do you experience sudden sweating, heart racing, chest pain and/or feelings of choking?

Never Sometimes Often

Have you gone through any of these experiences? (Divorce, Abuse, Bullying)

No Yes

Does your anxiety interfere with your ability to sleep?

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Your application was successfully submitted.

We will contact you when a decision is made.

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I agree to be contacted with the above information to see if I am a good fit for a neurofeedback therapy. I have read and consent to the privacy policy.

Help us match you with the right service

Thank You!

Your application was successfully submitted.

We will contact you when a decision is made.

Book a free 10 minute phone consultation

Book a free 10 minute
phone consultation