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Confidential Transformational Coaching & Hypnotherapy Intake Form 
All information will be kept strictly confidential except that which I am legally obliged to report, such as a threat of injury to yourself or others. If you are uncomfortable in any way with any of these questions, feel free to skip them. Please be aware that the more you can tell me about yourself, the more I may be of assistance to you. Feel free to go into detail about any issue you wish me to know about you, or to help you with.
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