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I only facilitate QHHT session over weekends or Public Holidays
Your Name (required)
Your Email (required)
Telephone Number (required)
How did you find out about me (Tony)? (required)
Have you been hypnotised before? (required)
If yes, briefly describe the outcomes of your hypnosis expriences (required)
Briefly describe what your reasons are for wanting to experience a hypnosis session? (required)
It is important to note that pharmaceuticals and various substances, like caffeine, alcohol, psychoactive and hallucinogenic
How often do you use medications such as pain killers, anti-depressants, sleeping tablets, cough medicines etc? (required)
Do you regularly use any psychoactive/hallucinogenic substances, such as marijuana, cocaine, heroin, etc.? (required)
If yes, how often do you use said substances? (required)
Have you ever had any psychiatric treatment? (required)
If yes, please elaborate (required)
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