Ontario Hypnotherapy Centre Stop smoking with Hypnosis Toggle NavigationHomeAboutContactServicesFormsDownloadsHomeAboutContactServicesFormsDownloads The Ontario Hypnotherapy Centre Hypnosis and Hypnotherapy for positive change Near London Ontario Please complete all fields Email Address*Name*Age when you started smoking? How many Years?Have you tried to stop before? What were the results?Whats the longest period you have gone without smoking?What caused you start again?On a scale of 1-10 what is your commitment to becoming smoke free?What has been the greatest barrier to stopping in the past?Is there a reason that you have chosen this time to stop?Are you ready and willing to live your life smoke free?This 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