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BattleBetty: Equine Therapy Interest Form
* Indicates required question
Full Name
*
Your answer
Email
*
Your answer
Phone
*
Your answer
Location (City, State)
*
Your answer
Branch of Service
*
Air Force
Army
Coast Guard
Marines
Navy
Do you have a VA disability rating?
*
Yes
No
Do you deal with Post Traumatic Stress (PTSD) and/or Military Sexual Trauma (MST)?
*
PTSD
MST
Both
Why do you believe Equine Therapy will be beneficial to you?
*
Your answer
If selected, will you commit to the 8 week program?
*
Yes
No
If selected, will you commit to full participation in pre- and post-assessments?
*
Yes
No
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