Request for 'SIT' Session
(Strategic Integrative Targeting)
A unique fusion of Neuro-Linguistic Programming, TIME Techniques, Coaching Intervention and Hypnosis to feel better and perform greater in life and business.
Please Complete This Short Form

Client Information

Client Name:
Parent(s) | Guardian(s) Name (Required if under 18):
Primary Email Address:
Phone Number:
Address 1
City
State
Zip Code
Country
Client Age
Client Date of Birth

Services Request Information

Please provide a brief description of the current struggle(s) or interests the Client is experiencing/desiring
Please select all  that apply to the Client's current struggle(s) and/or interest(s)
Confidence | Self-Esteem
Resolve Inner Conflict
Success | Life Coaching
Lack of Motivation
Define & Align Your 'Why'
Overcoming Procrastination
Limiting Belief(s)
Situational Nervousness
Negative Emotions
Personal Performance
Unwanted Habits
Please describe any previous experience with NLP,  TIME Techniques, Coaching or Hypnosis
Please describe any behavior(s) and\or emotional issues or interests that you feel may be relevant
In your own words, please describe any significant emotional events during the most recent 3 years
Is the client currently under the care of a physician, psychotherapist, pathologist or licensed medical practitioner for this issue(s)?
If yes, please explain the condition(s) for which the client is being treated and the nature of the treatment(s), including any medications
Please include any additional information which you believe may be relevant to the current struggle(s) or interests
Please describe as clearly as possible the results that you (the client) would like to achieve
How did you hear about us?
"Greatness is not found in what you do. Nor do possessions behold it. Greatness resides in who you come to be."
Master Practitioner NLP, TIME, Success Coaching & Hypnosis
Greg Schweitzer
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