Screening Appointment | Mindset Quality, LLC

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REDEFINE Interest Form

REDEFINE is a free 6-week EMDR group for veterans and spouses.

This group is for people who are ready to feel something different.

You do not need to talk about your trauma. You do not need to know what to say.

You just need to be open to trying something structured and real.
Please complete this short form.

After you submit it, someone from our team will contact you within 48 hours to schedule a short welcome call and talk through next steps.

First Name

Last Name

Phone

How do you identify?

Veteran

Spouse of Veteran

Widowed Military Spouse

Other (please specify)

What are you hoping this group might help you with? A few honest words are enough. There is no wrong answer.

Where do you live?

Preferred way to connect for your welcome call (Optional)

Phone Call

Text message

Are there any days or times that work best for you? (Optional)

Is there anything else you’d like us to know before we connect?

I understand this is a six-week commitment for people ready to participate in a structured group.

I understand this is not a crisis service and that someone from the REDEFINE team will contact me for a short welcome call.

Thank you for reaching out. You will hear from someone on our team within 48 hours to schedule your welcome call and talk through next steps.

You do not have to figure this out alone.

All information shared here is confidential and only used to support your welcome process. We do not sell or share your data.