✨ Answer honestly and intuitively—there are no right or wrong answers here. ✨
🌀The Beginning of Your Healing Journey
This pre-session QUESTIONNAIRE is the first step toward your inner balance and will help me better understand your needs before we begin our work together. All information provided is strictly confidential and used exclusively within the scope of our collaboration.

Estimated Completion Time: About 10 minutes — take this precious time for yourself to make the first step toward harmony and healing.
🔒 Important: I do not open email attachments. All information is transmitted only through secure forms on my official website.
What is the main issue you want to address through hypnotherapy?
How do you feel in the mornings, right after waking up? Please describe your current state.
What Are We Aiming For? 🌿💫 How would you like to feel?
On a scale of 0 to 10, how intense are the emotions you currently experience?
Anxiety
Not at all
Very Strong
Guilt
Not at all
Very Strong
Sadness
Not at all
Very Strong
Anger
Not at all
Very Strong
Hopelessness
Not at all
Very Strong
Resentment
Not at all
Very Strong
Fear
Not at all
Very Strong
Shame
Not at all
Very Strong
Loneliness
Not at all
Very Strong
Self-doubt
Not at all
Very Strong
Exhaustion
Not at all
Very Strong
Jealousy
Not at all
Very Strong
Have you experienced any of the following conditions or issues in the past?
*Select one or more options
Have you previously participated in hypnosis sessions?
Willingness and the roots of the issue
Are you ready to sincerely and completely release emotional and energetic blockages?
In your opinion, are the roots of your issue related to…
*Select one or more options
Basic Information
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