Application for Coaching and Transformational Hypnotherapy with Charlotte Ferrier

Name *
Please list preferred times & your availability so we can do our best to offer you a convenient time.
All sessions can be booked either for face to face or online for your convenience. Online sessions are equally as effective as face to face. Please note Clinic Sessions are in London U.K.
Please list the town, state & country you'll be in for your online session... to ensure scheduling accuracy
Date of birth
Date of birth
If in U.K only
What are you looking to achive through this process ?
( 1 being not at all + 10 Alot )
1 = Not very 10 = Absolutely Commited
Please select the areas that currently concern you from the list below: *
I understand the importance of listening to my personalised recording daily, for at least 3 weeks to ensure optimum results
30% Deposit payable on booking - none refundable within 30 days.
Payment details will be forwarded on confirmation of your successful application.
Session Options