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Home
Hypnotherapy & NLP
Havening
About
Issues Treated & FAQs
Testimonials
Contact
What's in the News
Pre-Consultation Form
If you have been sent a link to this private page please fill in this pre-consultation form in as best you can and click SUBMIT at the bottom.
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Name
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First
Last
Age
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Address
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Email
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Reason for Consultation
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How long has this been a problem?
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What makes it better?
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What makes it worse?
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Have you tried to make it better in the past?
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Medical History
Doctor
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Surgery Address
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Medication / Other Treatment
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Current Health Status
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What do you specifically want from this session?
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How will you know when you have it?
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What has stopped you achieving this until now?
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What will be different in your life as a result of having these changes?
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How will these changes affect your friends, family and colleagues?
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Session Costs
Cash or cheque only
£80 one hour
£100 up to 90 minutes
Please arrive promptly / give 48 hours notice of cancellation
Contact: Angela Ralph
Tel: 07849 637281 Email: inspiringyork@gmail.com
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