Birmingham Hypnotherapy Clinic
07841 713394
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    Consultation Questionnaire - Strictly Confidential

    These information will help us understand you better and facilitate your therapy.

    Please rate the stress level of your problem using a number between 0-10 with 10 being the highest and 0 being none at all.

    Please take some time to think before you answer the two questions below. If necessary come back to it.







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Session payment

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Use Starling Bank 
Unfortunately due to a series of inconsiderate people booking appointments and never turning up we now ask all our clients to pay for their first session in advance.

You can use this link
First Session £160  of use Paym to pay for your session



PAYM Birmingham Hypnotherapy Clinic
We also accept PayM. Just use our mobile no 07941691952 to make a payment.

Whats is PayM? If you have never used PayM just visit PayM website.

You can now pay your friends and family using just their mobile number.

It means that you’ll never have to ask anyone for their current account number or sort code (providing they’ve done the sensible thing and registered too).

So now, thanks to participating UK banks and building societies, it’s easy to pay someone back even while you’re on the go!


Please note that now shows or appointments cancelled with less than 24hrs in advance of your session you will be charged the full cost of the session. 
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