Weight Loss Survey                                               Scott Lea, CH.t. Anti Stress Center
Please select the issues and concerns which apply to you and relate to your weight loss interests. Thank You!  -  Scott Lea, CH.t. https://AntiStressCenter.Com 
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Email *
Do you feel that the COVID-19 situation caused you to gain weight? *
Required
Did you want to lose weight before COVID-19? *
Required
On a scale of 1 to 10, where ten is the most upsetting, how upsetting is your present weight issue? *
Have you tried to lose weight in the past? *
How many pounds would you like to permanently lose? *
Do you have any health conditions? *
Required
My self confidence / self esteem is lower than I would like it to be *
Required
Use this scale of 1 to 10, where ten represents the maximum importance of the question for you. Q: Can I still eat the foods I enjoy with hypnosis? *
Use this scale of 1 to 10, where ten represents the maximum importance of the question for you.             Q: When will I start losing weight with hypnosis? *
Use this scale of 1 to 10, where ten represents the maximum importance of the question for you.             Q:Do I have to watch carbs and calories with hypnosis? *
Use this scale of 1 to 10, where ten represents the maximum importance of the question for you.       Q: Will hypnosis help with food cravings? *
Thank you for taking the time to answer these questions. Remember - Always talk to your doctor about how you are feeling, physically, mentally AND emotionally.  Feel free to contact me at any time if you have any questions about hypnotherapy, or if you would like to schedule a free hypnotherapy consultation. - Scott Lea, CH.t. https://AntiStressCenter.Com
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