Intake form NLP

Client Notes for Private Session

Please complete and return prior to attending your appointment

Name

Phone number

Address

What do you want? Write out what you want to achieve, what are your goals, and dreams.

What’s important to you?

Previous attempted solutions:

What’s stopping you?

What would you do if you knew you couldn’t fail?

What will be different once these changes occur?

What will be different in your life as a result of having this change?

How is this change going to affect family and friends?

"SimplyBetterYou" hereby declare that we do not diagnose, treat, or cure medical or psychiatric conditions.
While we are committed to providing support and guidance in various aspects of personal development, including mental well-being, it is important to understand that our services are not intended to replace professional medical or psychiatric treatment.
Any information, advice, or techniques offered through our platform are for educational and informational purposes only. They should not be construed as medical advice or a substitute for professional diagnosis, treatment, or care.
Individuals seeking assistance with medical or psychiatric concerns should consult qualified healthcare professionals or licensed practitioners. It is imperative to discuss any changes to medical or psychiatric treatment plans with a qualified healthcare provider.
By engaging with my services, you acknowledge and accept that I am not liable for any consequences arising from the use of information or techniques provided. You assume full responsibility for your well-being and any decisions made based on the content shared on my platform.
Thank you for your understanding and cooperation.
Sincerely, "SimplyBetterYou"