Please fill out this form for your free initial consultation on dealing with stopping smoking.
Once I have received your email, I will e-mail you back with a few times I have available which you can chose from for your initial consultation.
Times you are available for an appointment?
How long have you been smoking?
less than a year
Over 10 years
What do you smoke i.e. cigarettes, cigars, roll ups?
How many do you smoke a day?
Why did you start smoking?
What do you gain from smoking?
When do you really enjoy smoking?
When do you think it will be the hardest for you to give up?
Why do you want to stop smoking?
What will you do with the money you save?
Do you suffer from any allergies
Are you taking any mind altering medication?
Please tell me in your own words and as much detail as possible about your smoking habit.
Including anything you may think is relevant no matter how silly it may sound
Copyright © 2007 Henry Marshall D.H.C.P. M.E.A.C.H. Hypnosis therapy and psychotherapist. Grantham Lincolnshire Sitemap Useful links