Freedomind (Male Version)

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Our disclosure of services* This field is required.Freedomind LLC (hereafter referred to as "the Company") offers a variety of services, including self-improvement coaching, hypnotherapy, breathwork coaching, mental coaching, communication skills coaching, and other services aimed at helping clients improve their lives both personally and professionally. These services are not intended to replace medical, personal healthcare, or psychological therapy. The coaches or counselors are not licensed physicians or psychologists. The services provided are non-diagnostic and do not involve medical or clinical practice. They should not be considered a substitute for licensed medical or psychological services. The Company's coaches or hypnosis counselors do not prescribe medication or offer any medical-related advice. In assisting clients with weight loss and/or achieving various health and fitness goals, the coaches or counselors may offer general nutritional advice and/or recommend published books, food guidelines, or health and fitness publications. However, this information is not a replacement for medical advice, and it is recommended that clients seek approval from a licensed physician before making any medical, health, or lifestyle changes. To support clients' self-improvement, coaches or counselors may use meditation or hypnosis. These techniques are recognized as effective methods for accessing the subconscious and improving life by helping individuals change habits and behaviors. Coaching or counseling services involve a collaborative and ongoing effort, which may include an unspecified number of sessions. The duration of the services and sessions depends on the client’s individual situation or needs, and the coach or counselor will make every effort to help the client achieve their goals. While meditation or hypnosis is widely used for various purposes, results vary from person to person, and specific outcomes or progress cannot be guaranteed. In principle, the coaches or counselors will maintain the confidentiality of the client’s information. However, court orders may require the disclosure of information obtained during counseling. The information shared in coaching or counseling sessions is not protected by the same confidentiality standards as those between a patient and a psychotherapist. This Service Agreement is available in both Chinese and English. In the event of any inconsistency or discrepancy between the two versions, the English version shall prevail. The Company reserves the right to the final interpretation of this Disclosure Of Services.
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Our service fees* This field is required.Our service fees are listed transparently on our webpage with no hidden charges for any of our services.
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Cancellation policy* This field is required.Any reason you cannot attend at the scheduled time, you must contact us 24 hours in advance. Without prior cancellation, or cancel with less than 24 hours notice, may be charged at the current full rate.
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Name* This field is required.
First Name
Last Name
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Email* This field is required.
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Birth Date* This field is required.
Date
Year
Month
Day
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Occupation* This field is required.
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Have you completed the Freedomind course?Freedomind Course Link
Yes
No
Partially
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Who presently lives with you?* This field is required.
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Are you Single/Married/Divorced/Widow(er)/separated?* This field is required.
Single
Married
Divorced
Widow(er)
separated
Other
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If married, how many times?
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Can you describe your current eating habits?For example, what kind of food do you usually choose for breakfast, lunch, and dinner? Are you following any popular diets, like Keto, etc.?
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In your own words, please describe the problems or situations you wish to change, and how they are affecting your life.* This field is required.
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Describe the goal or vision you wish to achieve with our support and guidance.* This field is required.
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Please give a brief account of the history and development of the situation you want to change. What key events or patterns led to where you are now?
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On the scale below, please estimate the severity of your problems:* This field is required.
Mildly Upsetting
Moderately Severe
Very Severe
Extremely Severe
Totally Incapacitating
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What types of help or assistance have you sought to address your current situation? Please include any specific approaches, professionals, or resources you have tried.
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In your own words, please describe your overall impression of your childhood between the ages of 0-7.
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Who were your primary and secondary caregivers during your early childhood (ages 0-7)? For example, this could be your mother, father, grandparents, or others involved in your care.
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Answer yes if your parent(s) had any one or more of the traits listed. * This field is required.a. If you were raised by both parents (up to age 15 or 16), was your father more outward and demonstrative in showing affection for you than your mother? (e.g., by hugging, verbalizing feeling, compliments)? b. If you were raised by your father only, was he outward and demonstrative in showing affection for you? c. If you were raised by your mother only, was she outward and demonstrative in showing affection for you?
YESNO
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Do you often desire repeated sex with your partner?* This field is required.
YESNO
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After a disagreement with your partner, do you usually make up first?* This field is required.
YESNO
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Are you more jealous or possessive of your partner than your partner is of you?* This field is required.
YESNO
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Do you feel that having sex after an argument is a good way to make up?* This field is required.
YESNO
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Do you like to show your partner attention by opening doors, helping them with their coat, pulling their chair out before they sit down, etc.?* This field is required.
YESNO
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Immediately following the sex act, do you like to touch and caress your partner?* This field is required.
YESNO
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If you feel that you have been unfairly criticized or rejected by your partner, are you capable of expressing extreme anger, tantrums, or vindictiveness?* This field is required.
YESNO
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When you meet someone you are attracted to, are you attracted to the area of their body from the waist down rather than the waist up?* This field is required.
YESNO
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If you have been strongly rejected by your partner, do you feel actual physical discomfort or pain?* This field is required.
YESNO
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Is it important to you to share most of your social activities and hobbies with your partner?* This field is required.
YESNO
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If your partner breaks off a relationship that you did not want to end, do you find that all your energies and thoughts keep drifting back to them and you have difficulty concentrating on anything else?* This field is required.
YESNO
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Do you agree with your partner at times to prevent from turning off sexually, even when you think they are wrong?* This field is required.
YESNO
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Do you feel that you give more of yourself to your partner than they do to you?* This field is required.
YESNO
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Would you like your partner to be more sexually aggressive and creative than they are?* This field is required.
YESNO
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Do you enjoy receiving attention and flattery from your partner in the presence of others?* This field is required.
YESNO
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Is your relationship your number one priority?* This field is required.
YESNO
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If you suspected your partner of cheating, would you put the greatest degree of blame on the other person for leading them astray?* This field is required.
YESNO
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Do you feel that you have a greater capacity for love and deep emotional feeling than your partner?* This field is required.
YESNO
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Does it disturb you if your partner’s sex drive diminishes after the newness of the relationship wears off?* This field is required.
YESNO
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Answer yes if your parent(s) had any one or more of the traits listed.* This field is required.a. If you were raised by both parents (up to age 15 or 16), was your father more passive and undemonstrative in showing affection for you than your mother? b. If you were raised by your father only, was he undemonstrative, passive, cold, withdrawn or overly strict? c. If you were raised by your mother only, was she undemonstrative, passive, cold, withdrawn or overly strict?
YESNO
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Instead of complimenting your partner, do you usually take the attitude that as long as you do not complain, everything is OK?* This field is required.
YESNO
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Is the expectation of sex often greater than the actual physical act?* This field is required.
YESNO
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Do you feel that it is unnecessary to buy small gifts of appreciation for your partner, even though you may do it?* This field is required.
YESNO
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When you make up after a fight, do you still feel resentment and find it difficult to fully forgive?* This field is required.
YESNO
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Does your partner want sex more often than you do?* This field is required.
YESNO
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Do you dislike “winning and dinning” a date in order to have sex (assuming that money is no object)?* This field is required.
YESNO
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Answer yes or no to either a. or b. * This field is required.a. if in a committed relationship, do you have, or prefer to have, an additional relationship outside of it? b. if single, do you usually have one steady partner but date other people at the same time?
YESNO
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Would you avoid or refuse to have sex with your partner after an argument?* This field is required.
YESNO
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Would you rather avoid verbally expressing love, tenderness or affection, immediately following sex?* This field is required.
YESNO
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When you meet someone now, are you first attracted to their mind and intellect, rather than to them in a sexual way?* This field is required.
YESNO
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Do you turn off during sex, if distracted by small talk or a comment you feel criticizes you?* This field is required.
YESNO
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Are you constantly searching outside of your relationship for the “romance” you feel is missing in your life?* This field is required.
YESNO
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Do you find that as the newness of a relationship wears off, your sex drive towards your partner diminishers?* This field is required.
YESNO
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Would you have a strong resentment against a person demanding a commitment, even though you are well established in your career, but you weren’t ready?* This field is required.
YESNO
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Do you have the attitude that, if you felt the same way before the sex act that you feel five minutes after, you would never have sex?* This field is required.
YESNO
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During the sx act, would you prefer to avoid verbally expressing the different physical and emotional feelings you are experienceing?* This field is required.
YESNO
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During an argument, does your partner tend to throw back at you things you said or did in the past that hurt, angered or rejected them?* This field is required.
YESNO
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When you are having sex with your partner, do you often fantasize about someone else or about another sex act?* This field is required.
YESNO
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Does it annoy you to have to reassure your partner by giving them compliments or attention that they outwardly solicit from you?* This field is required.
YESNO
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File Upload - The palms of your left handPlease take photo of the palms of your left hand. This isn’t about fortune-telling; it’s a way for us to learn more about your personality. Your palms can reveal insights into your brain connections. (Optional)
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Max. file size: 4.9MB
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File Upload - The palms of your right handPlease take photo of the palms of your right hand. This isn’t about fortune-telling; it’s a way for us to learn more about your personality. Your palms can reveal insights into your brain connections. (Optional)
Drag and drop files here
Select files to upload
Max. file size: 4.9MB
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Additional messages or information you would like the coach to knowPlease share any other details or insights you would like your coach to know. This could include personal goals, specific concerns, or anything else you feel is relevant to your journey. Your input here will help us tailor our support to best meet your needs.
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