EmailMe Form - THOUGHTWORX HYPNOTHERAPY

Your Name

Best number to contact you on?

Your email address

Which would you prefer?

A 15 min free phone consult

I’m ready and would like to book my programme

Which would you prefer?

A 15 min free phone consult

I’m ready and would like to book my programme

The free phone consults are held on a Monday. Which time of the day suits you best?

Morning

Lunch

Afternoon

Evening

ThoughtWorx Hypnotherapy is based in Rotorua. Would you like sessions -

In person at Rotorua

Online via Zoom

Would you like to be added to our mailing list to receive free recordings and informations on programmes available?

Yes

No

What Motivated you to reach out to a hypnotherapist?

Are you ready to take action toward your change?

Yes, I understand that all hypnosis is self hypnosis, and I am ready to follow instructions and be an active participant in this change.

Are you ready to make a personal investment of time and money to achieve your personal best?

Yes, I understand that the positive results of hypnosis are exponential over time. Session cost is $250 for 1st session, $180 per session after with the Virtual Gastric Band being a 5 session programme.