Creator of Rhythmic Entrainment Intervention™
Welcome to The All-Inclusive REI Custom Program
Online Intake Form for Adults 18 Years or Older
Please complete and submit the intake. We will place Track #1 of your REI Custom Program into your account within 24 hours.
Call us at 800-659-6644 or email us at firstname.lastname@example.org with any questions.
Please select a rating for each of the following questions. Refer to behavior for the past 3 months. For each item, decide whether the behavior is relevant and to what degree.
- Not relevant = You never see this behavior
- Slightly relevant = You rarely see this behavior
- Pretty relevant = You ocassionally see this behavior
- Very relevant = You often see this behavior
Remember: Don't think too hard about the answer -- your first reaction is usually the right one.
This quiz is for logged in users only.