0488 930 457
See Our Upcoming Classes
Home
Liberty Hypnotherapy
Quit Smoking and Other Addictions
Lose Weight
Overcome Fears and Conquer Anxiety
Build n Boost Confidence and Self Esteem
HypnoBirthing® Newcastle
Fourth Trimester
When Should I Start
Positive and Gentle Induction
Nurturing The Becoming Dad Journey
Careful Creations - A Photo Gallery of Success & Opportunity
AFTER Baby: Transitions For You
DBL - Dunstan Baby Language
Fourth Trimester
Baby Sign Language
Parenting Consulting
Contact
Information/Taster Sessions & Class Schedule for 2019
How Are You Feeling?
Contact Us
How often did you feel tired out for no good reason?
None of the time
A little of the time
Some of the time
Most of the time
All of the time
About how often did you feel nervous?
None of the time
A little of the time
Some of the time
Most of the time
All of the time
About how often did you feel so nervous that nothing could calm you down?
None of the time
A little of the time
Some of the time
Most of the time
All of the time
About how often did you feel hopeless?
None of the time
A little of the time
Some of the time
Most of the time
All of the time
About how often did you feel restless or fidgety?
None of the time
A little of the time
Some of the time
Most of the time
All of the time
About how often did you feel so restless you could not sit still?
None of the time
A little of the time
some of the time
Most of the time
All of the time
About how often did you feel depressed?
None of the time
A little of the time
Some of the time
Most of the time
All of the time
About how often did you feel that everything was an effort?
None of the time
A little of the time
Some of the time
Most of the time
All of the time
About how often did you feel so sad that nothing could cheer you up?
None of the time
A little of the time
Some of the time
Most of the time
All of the time
About how often did you feel worthless?
none of the time
A little of the time
Some of the time
Most of the time
ll of the time
Name
Phone
Email
Thank you for contacting us.
We will get back to you as soon as possible
Oops, there was an error sending your message.
Please try again later
Contact
Newcastle | Lake Macquarie | Central Coast | Hunter Valley
0488 930 457
info@positiveandpowerfulperspectives.com.au positiveandpowerful@hotmail.com
HypnoBirthing® Intake Form
How Are You Feeling?
Share by: