Full Name *

What is your email address? *

Today's date *

From the list below, check any areas that you want to transform: *

When you feel you are enough, worthy of love, happy with who you are and enjoying your relationships, purpose/career, health and wealth, what will that feel like to you? *

When you feel that way, what will you be doing differently? *

If you felt ‘WHOLE’ what would that feel like to you? Describe in detail *

How are things currently in your life, relationships, work, and family? What is going well? What isn’t going well? *

Tell me a little bit about your childhood? What were things like for you while you were growing up? (Home and school) *

What was your relationship with your parents/caregivers like? What did they teach you about being enough and lovable unconditionally? Did you feel there were certain conditions on their love? How did they treat you? *

What is your relationship with your parents/ caregivers like now? *

Who is the person you’ve felt most loved by in your life? *

What things in your life do you feel guilt or shame about, or judge/criticize yourself for? *

If you loved yourself deeply, and truly believed you are enough and worthy of all you desire, what would that look like for you? *

If you could go back in time and say the things the ‘little you’ needed to hear, what would you say to your younger self? *

Have you ever experienced hypnotherapy, NLP, or another modality that addresses your subconscious mind directly? *

Is there anything else you would like me to know before our session?