1:1 Misophonia Relief Support
Interested in 1:1 support? Fill out the form below and I'll get back with you shortly! I support using unconscious reprogramming modalities like neuro-linguistic programming, Emotional Freedom Technique, clinical hypnotherapy and Rapid Resolution Therapy®.
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
On a scale from 0 (not an issue at all) to 5 (severe), where would you rate your experience with misophonia currently?
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0
1
2
3
4
5
Don't Experience Misophonia
What is one thing that if it happened, you would know you were making positive progress toward alleviating the suffering created by misophonia? Write N/A if you don't experience misophonia.
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What would you most like to accomplish over the next 3 months together?
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What steps have you already taken toward achieving this goal (if any)?
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How did you hear about this opportunity?
Referral
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The investment for support is one payment of $1697 or three payments of $589. Please only submit this form if you're committed to making this investment in yourself.
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