1. What is your age?
EFT Counselling Sessions
3. In which country do you live in?
4. Which of these would you be interested in (you may choose more than one)
Group Therapy with the Stress Course
Individual Therapy with the Stress Course
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Audios
Audios with music
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The Mind/Body Package of information and audios
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5. With reference to the Mind/Body Package, which areas of illness / physical problems would you be interested in?
6. Do you use
7.If you wanted to learn something new, what format would you prefer?
Teleclass live in a group with your participlation
Recorded teleclass that you can listen to later
Downloadable audios that you can listen to in your own time
Information that you can read in your own time.
Other
8. What problems keep you awake at night i.e. what are your most pressing immediate problems?
9. Are you interested in / open to information about Emotional Freedom Techniques?
10. What is your religious outlook / belief? (optional response)
2. Are you:
Your name and surname:
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