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This is a confidential record of your history and will be kept in this office. Thank you for your interest in Hypnotherapy. This is done through modalities including Hypnosis, NLP and Life coaching. Everyone is unique, and each plan is tailored for each individual client. A holistic approach promotes positive change and wellbeing.
The following questions are a way to get started. Please answer the following to the best of your ability.
Name *
Email *
Country *
Phone number *
Are you *
How long are you pursuing this venture/profession? *
What kind of issues are you facing? *
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Have you tried any solution before? If so, please describe in detail below. Please describe as clearly and specifically as possible. *
Have you worked with or currently working with any coach, consultant, mentor? Please share more details about your connection and their involvement in details. *
Which industry do you belong to? *
How serious are you about your transformation and healing? *
Do you have any other personal issues (trauma, ongoing divorce, heartbreak, depression, health issues)? Please share it with us in detail. Be rest assured that all your information is treated as private and confidential. It will help us to help you. *
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