Thank you in advance for taking the time to complete this form to help me get to know you better.
If you are a new client, it is essential that you complete the questionnaire below, to allow me to get a complete picture of your lifestyle and history with hypnotherapy.
I promise to use my skills to help you make the changes you are looking for and I will treat you with care and respect. I promise to give you my full professional attention during our sessions and promise to maintain strict confidentiality. I am professionally committed to using my education and skills to help you mobilize your own resources to achieve the results you seek.