Which Practitioner do you Plan to See?

Dr. Giles - HypnoCoaching

Dr. Bates - Reiki Sessions

Both

Name *

First Name

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Please indicate your country of residence, even if it is the United States.

Address 1

Address 2

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Have you experienced Hypnotism or Reiki before?

Yes, I have experienced Hypnotism before.

Yes, I have experienced Reiki before.

Yes, I have experienced both Hypnotism and Reiki before.

No, I am new to this.

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