SASSI Direct

SASSI Registration Page 1 of 3

SASSI Direct endeavours to ensure that SASSI psychometric screening instrument is used responsibly and professionally for therapeutic purposes. In order to qualify to buy and use it therefore, please complete this form to indicate your competence.

Title :

First Name :

Surname :

Organisation :		Address 1 :
		Address 2 :
		Town / City :
		County :
		Postcode :
Telephone :		Fax :
Email :

Have you attended SASSI training? Part 1 : Part 2 :

Approx Date : Location : Name of Trainer :