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Nelson Dario Intro Form
This short form helps me understand what is bringing you to this work before we connect for a free introductory call. Please only share what feels comfortable at this stage.
Section 1: Your details
Full name
*
Email address
*
Phone number
Location / time zone
*
Section 2: Your interest
What is calling you to this work right now?
*
What kind of support or clarity are you looking for?
*
Have you experienced hypnosis, meditation, breathwork, therapy, coaching, energy work, or other inner work before?
*
Have you experienced hypnosis, meditation, breathwork, therapy, coaching, energy work, or other inner work before?
A
Yes
B
No
C
A little
D
I’m not sure
Are you mainly interested in:
*
Are you mainly interested in:
A
Online session
B
In-person session in the GTA
C
Not sure yet
Is there anything important you would like me to know before our intro call?
Section 3: Consent and boundaries
I understand that this introductory call is not a therapy session, medical consultation, crisis service, or emergency support.
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I understand that this introductory call is not a therapy session, medical consultation, crisis service, or emergency support.
I understand that Nelson Dario’s work is for guided hypnotherapy, inner work, spiritual guidance, and personal transformation, and is not a replacement for medical, psychological, psychiatric, or crisis care.
*
I understand that Nelson Dario’s work is for guided hypnotherapy, inner work, spiritual guidance, and personal transformation, and is not a replacement for medical, psychological, psychiatric, or crisis care.
I agree to be contacted about my inquiry and intro call.
*
I agree to be contacted about my inquiry and intro call.
Would you like to receive occasional reflections, resources, and updates from Nelson Dario?
Would you like to receive occasional reflections, resources, and updates from Nelson Dario?
Yes, I would like to receive updates.
Submit
