Ontario Hypnotherapy Centre Hypnosis for Change Toggle NavigationHomeAboutContactServicesFormsDownloadsHomeAboutContactServicesFormsDownloads The Ontario Hypnotherapy Centre Hypnosis and Hypnotherapy for positive change Near London Ontario Questions for changePlease fill out as much as you can. The more information we have the better we are able to help you. Name*List 7 benefits of changing this unwanted behaviourDo you often feel you should be punished for past actionsYesNoIs there a past/current relationship that may be causing this problemYesNoAre you aware of an internal conflict that may be Causing all (or part) of this problemYesNoIf you have any questions about this form or Hypnosis please ask them hereThis site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.SUBMITThank you! Your message was sent successfully. / PreviousNextPausePlayClose