INTAKE FORM - Online Coaching One-on-One

Please fill out and submit this form to requests a one-on-one coaching program with me.

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Responsibilities and Liability Release

1. I am willing to be guided through relaxation, visual imagery, hypnosis, and/or stress

reduction techniques. I am aware these modalities are non-medical in nature and it is my

responsibility to consult my regular doctor about any changes in my condition or changes in

my medication.

2. I understand the above modalities are not substitutes for regular medical care and I have

been advised to consult my regular medical doctor or health-care practitioner for treatment

of any old, new or existing medical conditions.

3. I understand that change is my own and complete responsibility. I understand that ALL

HEALING IS SELF HEALING and that Sheri Saunders is only a “facilitator” in the process

of helping me to solve my own problem(s). It is my responsibility to be open and honest,

provide accurate feedback and be forthcoming with details and information that may help

me achieve my outcomes.

4. I understand I may be assigned “homework” or be asked to make changes to my life by

my higher self in regard to complete or solidify any healing or changes begun in our session

today. I understand that this information and advice for change comes not from the Hypnotist,

but from my own higher being.

5. I understand that my facilitator may elect NOT to proceed with the session if she feels it is

not in their or your best interest to do so. My Facilitator is NOT liable for travel costs (airline,

hotel, etc.) associated with declining a session.

6. I understand that our session may be digitally recorded for my later use. I also understand

that in these types of metaphysical sessions, the energy in the room can affect the equipment and recording resulting in static or blank recordings.

I Consent to Receive email Notifications, Alerts & Occasional Marketing Communication from Sheri. Message frequency varies. I can unsubscribe at any time.

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*Results may vary. Hypnosis results will vary from person to person. No individual result should be seen as typical. Sheri is not a healer, clients create their own healing with guidance. All hypnosis is self-hypnosis. Always consult a doctor for medical concerns.

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