Join us on Facebook & Twitter
Home
Services
Personal Development
Behavior Change
Fitness Coaching
Group Fitness
Nutrition Planning
Free Resources
Daily Caloric Intake
Body Fat Calculator
Exercise Routines
About Us
Feedback
Contact Us
>
Client Information Form
Download / Upload
Ask a Coach
Client Information Forms
new_hypnosis_client_questionnaire_.pdf
File Size:
131 kb
File Type:
pdf
Download File
informedconsent.pdf
File Size:
102 kb
File Type:
pdf
Download File
Welcome!
Prior to your hypnosis or coaching appointment please download and complete the following forms. You may upload them on this page via the "Upload File" box below, email them to:
Coach@FireAndHeart.com
- or fax them to: 970-469-7674.
We will respond to your submission within (2) business days. If you have any questions, feel free to contact Damon Hopkins by phone at:
(469) 952-0005.
*
Indicates required field
Name
*
First
Last
Phone Number
*
Please enter the # by which you're most easily reached.
Type of Phone
*
Cell
Home
Work
Your Email Address:
*
Additional Comments:
*
Please enter best time to call or any additional comments regarding contacting you.
Submit
"We are, what we repeatedly do. Excellence, then, is not an act, but a habit."
William Durant