Personalised hypnotherapy form for lack of confidence.

Confidence personalised mp3 order form

Please fill in the from below to start you order for a fully tailored hypnotherapy confidence personalised mp3 recording for building confidence. I might contact you by if I feel I need more information before I record your session, if you have any objection to this please indicate so in the last box.

Confidence personalised mp3 form

Name

Email Address

Select your age

Select type of session you would like

Your Phone number (Optional)

select your gender

Select time that you have suffered from lack of confidence

Please tell me about your first memory of low confidence

Is there any particular time when you feel that your confidence is at its worse? If yes please tell me about it.

Do you suffer from any allergies? If yes please give details.

Do you take any mind altering medication? If yes please give details

Please tell me in your own words and as much detail as possible about your lack of confidence and how it makes you feel. Including anything you may think is relevant no matter how silly it may sound.Message