✨ Answer honestly and intuitively—there are no right or wrong answers here. ✨
🌿 Pre-Session Questionnaire
For security reasons, I do not open attachments sent by email. All information is exchanged only through the secure forms on my official website.

Thank you for taking the time to fill out this form.
Your answers will help me better understand your needs and create a session that supports you in the best possible way.

Everything you share is completely confidential.
What is the main goal or challenge that brought you here?
How do you usually feel in the mornings, right after waking up? Please describe your emotions and state.
How would you like to feel instead?
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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