Michelle A Leonard Hypnosis QUIT SMOKING Questioner

Note: Every one on one personalized stop smoking session is designed for you specifically. This is a unique feature of Michelle A Leonard Hypnosis. This form will help me to better write your individualized "script". Please plan on being seen more then one time. See this page for a better detailed explanation: http://hypnosisnewjersey.blogspot.com/2015/11/stop-smoking-with-hypnosis.html
*skip any questions that don't pertain to your situation.
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question