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UAE Hypnosis Testimonial Form
You’ve had great success with hypnosis and now you can share your story with others who might be inspired by what’s possible. I truly appreciate your positive feedback. You’re helping everyone who is deciding if hypnotherapy can help them. -Adrian Rusin
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Step
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Name
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First
Last
Email (we promise not to share your email)
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Where in the world do you live?
What is your age?
Rate your experience
Rate 1 out of 5
Rate 2 out of 5
Rate 3 out of 5
Rate 4 out of 5
Rate 5 out of 5
5 stars is the best!
May we post your testimonial (or a portion of it) on our website?
*
Yes
No
Next
What was the issue you wanted to overcome or goal you wanted to achieve?
How did Adrian help you?
What was hypnotherapy like for you?
How did it feel? What was the experience like for you? (ex. relaxing, enlightening, powerful)
Do you recommend Adrian?
Yes
No
Do you want to upload a photo for your review?
Yes
No
Do you want to upload a video testimonial?
Yes
No
Please upload your photo for your testimonial here:
Click or drag a file to this area to upload.
Upload your video-testimonial here:
Click or drag a file to this area to upload.
Please keep video between one and three minutes. Here are some topics to help you create the best video testimonial: (Name) (Age) (Where in the world are you from?) (What was the issue you wanted to overcome or goal you wanted to achieve?) (How did Adrian help you?) (What was your experience with hypnotherapy? ex. relaxing, motivating, healing) (How are you doing today?) (Do you recommend Adrian?)
Phone
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