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Apple Wang Soul Regression Hypnosis - Healing Form
The questions are specifically designed to allow me to assist with your quest at my best capacity and facilitate you to receive the most effective healing that you deserve. Please answer the questions at your best capacity. Please also ensure that your email address and phone number are accurate so that your healing quest can be addressed and responded to appropriately on a timely manner.
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Email
*
Your email
Is there anyone or anything you do not want to forgive, let go and release?
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Yes (You may not proceed if this is the case.)
No
Maybe
Before proceeding, do you understand that Apple Wang does not fix, heal, nor transform you, but facilitates you to do that yourself with your own inner resources?
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Yes
No
Maybe
Do you understand that your transformation, healing, and results are dependent on how committed and open you are to the process?
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Yes
No
Maybe
If your answers to the last two questions are no, or maybe then we will start therapy working on those beliefs before anything else, otherwise you may choose not to work with me. Do you agree?
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Yes
No (if this is your answer, you may not proceed).
1.1 Your Name (Given name + Surname)
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Your answer
1.2 Your Contact Number
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Your answer
1.3 Date of Birth.
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MM
/
DD
/
YYYY
1.4 Gender
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Female
Male
LGBTQI
I am exploring.
1.5 The name and age of your children
Your answer
1.6 The name and age of your spouse/partner and other important family members. Including exes.
Your answer
1.7 What is your occupation?
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Your answer
1.8 What is your annual gross income?
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$50,000 - $100,000
$100,000 - $250,000
$250,000 and more
Other:
1.9 Which interests you?
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Buddhism
Christianity
Catholic
Hinduisim
Muslim
Islam
Judaism
Ethnic & indigenous
Irreligious & Atheist
Spiritualism
Sikhism
Other:
1.10 Your next of kin & contact number.
*
Your answer
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