Client Feedback Form

This end of therapy feedback form is entirely optional.

Selected Value: 1
Thinking about what you first came to hypnotherapy for: on a scale of 1-10, with 1 low and 10 high, where are you today, in this moment?
Selected Value: 1
On a scale of 1-10, thinking about what you first came to hypnotherapy for, what number are you at right now, in this moment?