Have you practiced Meditation or Hypnosis/Hypnotherapy/Self-Hypnosis before and if so was it successful?

What goal specifically do you wish to achieve? What do you feel is blocking your progress?

On a Scale of 1-10 ... 10 being the most stressful, how stressed do you feel?

How long have you been trying to make changes and what's your biggest struggle?

What's ONE thing you must STOP doing in order to take your life to the next level?

For the One & Two VIP Days, (Not Hypnotherapy) Do you earn at least USD 100k pa or more?

Name

Email Address

City and Country

Mobile/Cell Phone

Age

Occupation

On a scale of 1 to Bruce Lee, how awesome are you?