Name *

First Name

Last Name

Phone *

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Please put me in the draw to win a free session *

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Session Options *

The prize is one session and is not exchangeable for cash or redeemable for any other purposes. Judges decision is final, no correspondence will be entered into. NZ competition laws and regulations apply. What in your life is bugging you most right now?

Anxiety / Emotionally overwhelmed

Depression / Feeling empty inside

Addiction / Uncontrollable behaviours

Relationship Issues / Partners, Kids, Neighbours, Work Colleagues

Physical Pain / Arthritis, Sore Back/Knees/Hips, Headaches

Other