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Thank you for investing in your Personalised Hypnosis

Please fill out this form to help me create a personalised hypnotherapy recording tailored to your needs. Your responses will remain confidential and will be used solely for this purpose.

Personal Information

About Your Riding and Horsey Experience

Understanding Your Challenges

Health and Background Information

Consent and Agreement

Do you give consent for me to use the information provided to create a personalised hypnotherapy recording for you?
Yes
No

Additional Notes

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