Home
Why Choose Me?
How I Can Help
Back
Anxiety Assassin - Deal with it the Natural Way
Dealing With Depression
Stress - How to deal with life's challenges
Stop Smoking with Ease
Stop Fear and Phobia
Confidence is more than a feeling!
Ways to Book
Online Sessions
Face to Face Sessions
Mindfullness
Therapies
Back
Neuro Linguistic Programming
Hypnotherapy - Get your brain on your side
Cognitive Behavioural Therapy (CBT)
Rational Emotive Behavioural Therapy (REBT)
Events
Courses
Back
Certified NLP Training
Resources
Back
Online Courses
Free E-Books
My Blog
Norman Hinks NLP & Hypnotherapy
Tel:07798 624289
Email Norman
New Client Form
First Name
This is required.
Surname
This is required.
Date of Birth
Address (Street & No)
Town/City
PostCode
Best Email
Phone
Are you Receiving other Therapies?
Yes
No
Which Therapies?
Psychiatrist
Psychotherapist
EMDR
DMT
Coaching
Counselling
Other
Are you taking any medication?
Yes
No
What is it for?
Depression
Anxiety
Stress
Other
What is the most important thing to deal with?
Are you a Smoker or substance user?
Yes
No
Do you take exercise regularly?
Yes
No
Do you Drink alcohol regularly?
Yes
No
What do you want from the sessions?
How will you know things are different?
Anything else you think may be helpful for me to know?
Please Tick to Confirm
Send your information to me
