Please enter your name
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Which group would you like to join, and what are you aiming to achieve?
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What have you already tried so far, and how has that worked out?
When you have resolved your issue and achieved your goal, how will you know? What will be different?
Do you have any fears or phobias that it might be helpful for me to know? Feel free to expand to the extent you wish, but as examples: confined spaces, heights, the ocean, certain foods, etc.
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Do you have any physical (wrist, neck, shoulders or spine in particular) or mental health challenges? Are you currently or habitually taking any medications?
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Have you ever experienced coaching or hypnotherapy before? If so, please let me know a little about your experience.
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In the context of joining the group, is there anything else that you think it might be useful for me to know?
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