Pre-Screening
Form

TRE workshops & online courses are presented as a self-care technique for people with no major medical or mental health conditions.

While TRE may be a helpful adjunct to other forms of treatment when used by a suitably qualified TRE Provider, TRE is not recommended as a stand-alone treatment for any medical or mental health conditions including PTSD.

Although TRE has been shown to be safe & effective for most people, some people with pre-existing medical or mental health conditions may experience a temporary reactivation of unresolved symptoms if they have been unable to self-regulate the TRE process effectively.

Due to the group environment in a workshop setting or online course, presenters are unable to provide individual therapeutic assistance to participants with pre-existing medical or mental health conditions that may affect their ability to self-regulate TRE.

Please complete this screening form so our workshop & online course facilitators can determine the most safe & effective way for you to learn TRE

The details you provide on this form will be kept strictly confidential

First Name

Last Name

Phone Number

Email Address

State/Province

Location of workshop or name of online course you would like to attend

Please provide details of any medical or mental health conditions you have, including any history of trauma

Are you receiving treatment or support from any health professionals for your conditions? (if yes, please provide details and whether they are supportive of you attending this TRE workshop)

Do you ever experience acute flare-ups of your symptoms? (if yes, please provide details along with what triggers these flare-ups)

If your symptoms were to temporarily flare-up after learning TRE, do you have the skills and resources to successfully manage them? (if yes, include any processes, medication or other therapies you use)

Have you previously learnt TRE? (If yes, please provide details of how long ago, how much TRE you have done since and the effect it has had)

Is there anything else we should consider in assessing the most safe & effective way for you to learn TRE

(If you unable to access this pre-screening form, please contact National TRE Co-ordinator Richmond Heath via the general contact form)

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