HYPNOSIS DISCUSSION NETWORK

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Name* This field is required.
First Name
Last Name
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Phone numberIn case we encounter any connectivity issues
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Contact Email* This field is required.To arrange the conversation (this can be different to any professional contact details)
example@example.com
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How would you describe yourself?* This field is required.[You may select more than one answer]
Professional hypnotist/hypnotherapist (earning money)
Professional Hypnosis/Hypnotherapy Trainer or Training School
Professional Therapist / Coach / NLP Practitioner
Formally trained in hypnosis / hypnotherapist training / NLP
Interested in hypnosis / hypnotherapy / the human mind
Other
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Tell is a little about you* This field is required.Please provide a brief bio
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MAIN DISCUSSION SUBJECTWhat topic, subject or main question do you wish to discuss?
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Tell us more about your chosen subject, including you have any questions or key points to share with the group:
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Biggest Inspirations in the field of hypnosis, hypnotherapy or change work?Select up to three
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Most impressive application or demonstration of hypnosis you have seen?Select up to three
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Biggest gripes or issues you have with hypnosis and the profession?Select up to three
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If invited onto the live stream discussion, do you want to use it as an opportunity to share professional links or contact details?
YESNO
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Professional website address
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Social Media links
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Work EmailIf different from earlier
example@example.com
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Details of any offers you may want to share
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GDPR Privacy Acknowledgement* This field is required.
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