Client Symptoms Form Before RTT

KIKI YPSILANTI

Certified RTT Hypnotherapist

(Rank out of 10. 1=Low, 10=High)

1 = Poor

Excellent = 10

Purpose in Life

Looping Thoughts

Panic Attacks

Anxiety

Depression

Suicidal Thoughts

Sleep

Feeling of Hopelessness

Anger

Self-Loathing

Energy

Moments of Joy

Crying Spells

Laughter and Happiness

Self Love

Hope for the Future

Ability to Stay Calm

Ability to be kind to myself when I need it most

General Wellbeing

Memory – Short Term

I Am Living My Purpose

I Deserve Happiness

What I Want Is Available To Me

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