Break the Pattern application form

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Thank you for your responses.

Thank you for your application. I will personally review it and be in touch within 48 hrs hours to arrange your appointments.
I just need to check that there is no medical or clinical reason that would contraindicate us working together. Please tick any boxes that apply to you:
Do you have or have you ever been treated for in the past. (required)
How ready are you to invest in yourself right now?(required)
Have you worked with RTT or hypnotherapy before?(required)

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