Question Title

* 1. Would you like to lose weight?

Question Title

* 2. How motivated are you to lose weight?

Question Title

* 3. Why do you want to lose weight?

Question Title

* 4. What have you already tried?

Question Title

* 5. How is your weight affecting your life?

Question Title

* 6. Have you had hypnotherapy before?

Question Title

* 7. What is preventing you from reaching your ideal weight?

Question Title

* 8. How would you feel if you reached your ideal weight from 1-100?

1 100
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 9. How likely are you to try hypnotherapy from 1-100?

1 100
i We adjusted the number you entered based on the slider’s scale.

Question Title

* 10. Please message me if you are interested in finding out more

T