Request for Consultation

First name

Last name

Email

Phone

Preferred Method of Contact

Phone Call

Email

Have you been hypnotized before?

Yes

No

What is the change you want to make in yourself?

Sessions take place virtually. If you have a special need or circumstance that requires an in-person session, please indicate so below.

Yes, I require an in-person appointment.

In-Person Sessions Take Place in Chatham, Ontario

Do you have any questions about hypnosis?

I agree to receive marketing communications, including promotional offers and inspirational resources from Cristina Ruscica, Hypnosis, Healing & Wellness, and understand I can unsubscribe at any time.heckbox.

By submitting this form, you confirm that you have read and agree to our Terms & Conditions and Privacy Policy.

Cristina Ruscica Hypnosis Consultation

Request for Consultation

Cristina Ruscica
Hypnosis Consultation