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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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.
Pay for your session in advance
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. 

Birmingham Hypnotherapy Clinic
Guildhall Buildings, Navigation Street, Birmingham, B2 4BT
info@BirminghamHypnotherapyClinic.com 
0121 241 8227
CNHC
I offer online scheduling using BookFresh
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