Personalised hypnotherapy form for Relaxation.

Relaxation personalised tailored mp3 form

Please fill in the form below to start your order for a fully tailored and personalised hypnosis downloadable mp3 to help you become more relaxed. If I have any questions for you I may contact you by email before I make this recording. If you do not want me to contact you, please indicate so in the last box.

Relaxation 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 you have had a problem relaxing.

Is there any particular time that you have a problem relaxing? 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 give me details about your difficulty relaxing. Including anything you may think is relevant, no matter how odd you may think it sounds. The more infomation you give me, the better chance you have of overcoming the problem.