FAQ | OTRhypnotherapy.com

STEP : 2

OTR Questionnaire

Describe your concern

First Name

Last Name

Describe briefly the main issue:

What are the triggers to the issue/issues, what are the symptoms you are experiencing and what are the habits that induce it/them?

If I had a magic wand and I could grant you one wish with this session, what would that be? (what is the outcome you want to have from our session?)

Describe how your life would be without the issue (please take a moment to imagine and then be as detailed as possible):

Briefly mention some background information on your family/childhood/relevant past (siblings, parents/guardians, important situations/experiences etc)

Please choose the option/s that best described you as a child. When I was a kid, I was Required

The sick one

The rebel

The brilliant and successful one

The one who cares for others

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