Online Hypnotherapy

Questionnaire

Assessment Questionnaire

I have a questionnaire which will help me assess your current condition and help me plan your treatment. It is not compulsory but I have found it very helpful in the past.

The questionnaire is available in three different formats:

Download and complete the questionnaire and to me. Please answer the questions in as much detail as you can rather than just one or two word answers.

Please fill out ALL SECTIONS of the questionnaire even if you don't feel they are relevant.









Please note: Although highly effective for many conditions hypnotherapy is not intended as a substitute for routine or urgent medical evaluation, treatment or consultation. Individuals with URGENT MEDICAL PROBLEMS are requested to seek advice from their own physician, or from appropriate health care professionals. Hypnotherapy is as individual as the therapist and client, therefore outcomes and processes described and experiences related in client testimonials on this web site, in emails or in other communications from Online Hypnotherapy should not be considered general to all therapists and clients.