NLP & Mindset Coaching Packages Application

Read this before filling your application!

These packages include 1 hour sessions but it is fully customisable to your needs. If you wish to have a 2 hour session one day, have your sessions every week or bi weekly this can be discussed and arranged to suit your needs.

Pay as you go: $222
4 sessions $750
6 sessions: $1111
10 sessions: $1927
12 sessions: $2222

Payment plans are available apart from Pay as you go. Tick the payment plan box to receive more details about the options available by email!

Name *

First

Last

Email *

Date of birth (DD/MM/YY)

Time of birth (AM/PM)

Place of birth (city+state+country)

How did you hear about Healographic? *

Which package are you interested in?

Let me know a bit about you! Who are you? What are you passionate about? Share whatever you want to share about yourself here. 🙂

What is one area of your life you would like to work on to bring the most positive change? *

Describe what you want in this specific area. What is your desired outcome? Do you have a big goal that you want to accomplish? Do you want to make a change to find more joy in your daily life? *

Let me know about what is holding you back from getting what you want. What are your struggles? What is stopping you? *

Have you ever tried to work on this area of your life before? If yes, describe what you have tried (therapy, coaching, books, personal research etc…) What results (if any) did you get? *

What would you gain if you reached your goal and got what you want? *

Are you currently doing therapy, coaching or counselling sessions with another practitioner? *

Have you ever received a mental health diagnosis from a professional? If yes, please list everything here. (This is for your own safety as some of the tools I use - like hypnosis - are not recommended with certain diagnosis) *

Are you comfortable with the idea of exploring past memories that might bring up some difficult feelings? (Don't worry I will be there to hold space for you) *

Do you have any concerns or fears about working with NLP, Hypnosis or being put in a trance state? If you do, write them here and I will answer all the questions you might have. *

Are you interested in the payment plans? *

Yes, send me more info about the payment plans

Are you ready to take full responsibility for your life and your results? *

Hell yes!

** All of the information provided in this form will remain strictly confidential.