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Arenal Holisitic Hypnosis & Laser Center

print form		 Arenal Holistic Hypnosis and Laser Center, S.A.

 Benefits Form

Thank you for choosing the Arenal Holistic Center in La Fortuna , Costa Rica.
Please fill out this form. The information will be helpful during your session.

Benefits of making the change you want

e-mail:
First Name:
Last Name:

List seven of the benefits you expect to gain from making the change you would like to make.

1.
2.
3.
4.
5.
6.
7.

I often feel that I should be punished for something I once did.
I know of an experience or relationship that could be causing this problem.
I am aware of an internal conflict that may be causing part (or all) of my problem.
If I get better, I stand to lose:   
If I were't so much like...     I'd be much happier.

If you have any questions about this form or hypnosis, please note them here"
       

Holistica Terapeuticas Arenal Hypnosis and Laser Center
is The Personal Change Place.  Tell your friends.

© 2009 Arenal Holistic Hypnosis and Laser Center
Across from Judicial Center, La Fortuna
(within Alejuela, San Ramon, Costa Rica)
La Fortuna, CR

Tel: 506-8843 7101