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Hi! Thank youso much  for participating in this survey!  It will take approximately 5 minutes of your time to complete the questionnaire. Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for me to learn your opinion. Your survey responses will be strictly confidential, your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Elisa Di Napoli at 075 44247800 or by email at the email address specified below. Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 







 













Everyone has different goals in life. Please study this list carefully and then rate each item in terms of how important it is to you in your daily life on the scale indicated.



Extremely Unimportant Unimportant Not Sure Important Extremely Important
* Sense of Belonging
* Fun and Enjoyment
* Warm Relationships
* A sense of accomplishment
* Being Respected by others
* Excitement and Adventure
* Security
* A Spiritual Connection
 
 
 
* Of the above set of 9 values, which one is most important to you?
   
 
 
 
* Which are the top 5 goals you would like to accomplish in the next 5 years ?
   
 
 
 
Which areas of your life would you like to improve ? 
 
Weight Management
 
Anger Management
 
Breaking Addictions
 
Mood Enhancement
 
Sleep Quality
 
Self Esteem
 
Confidence at Work
 
Dating Confidence and Relationships
 
Social Anxiety
 
Performance Anxiety (non sexual)
 
Sexual Issues
 
Public Speaking
 
Interview Nerves and Studying
 
Overcoming Phobias
 
Creativity Boost
 
Financial Success
 
Spiritual Development
 
Learning Self Hypnosis
 
Mindfulness
 
Dealing with Loss and Grief
 
Goal Setting and Personal development
 
Habit Control
 
Dealing with Nightmares

 
 
 
* Is there any other area of your life you'd like to improve / issues that you would like help with?
   
 
 
 
* How likely would you be to purchase an Online Course / Audio Download created by me in any of the above areas ? 
 
Extremely Likely
 
Likely
 
Not Sure
 
Unlikely
 
Extremely Unlikely
 
 
How satisfied are you with the following:
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied N/A
Hypnotherapy Service Received
Online Videos