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Tell Us About Yourself

A little preparation makes for a much more valuable conversation.

Your Complimentary Consultation gives us the opportunity to understand what you’d like to change, explore the thoughts, beliefs or patterns that may be holding you back, and consider how Aurilah Therapy may be able to support you.

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Before we meet, please complete the short questionnaire below. This allows us to review your answers in advance and focus our consultation on the areas that matter most to you.

Aurilah Therapy Questionnaire

Please complete your questionnaire at least 48 hours before your scheduled consultation.

This gives us enough time to properly consider your answers, look at any information you choose to share and prepare for a more focused, useful conversation.

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There are no perfect answers, and you don’t need to have every figure or detail to hand. Simply tell us what you know and what feels most important right now.

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Most clients should be able to complete the questionnaire comfortably in around 10 minutes.

About You

Date of Birth
Day
Month
Year

Note: We need this to confirm that you are over 18 years old.

Health & Suitability Screening

Please let us know if any of the following currently apply to you, or if you have been diagnosed with any of the following conditions:

Your safety and wellbeing are our priority. As part of our professional duty of care, we need to ask about certain medical and mental health conditions before hypnotherapy to help us assess whether treatment is appropriate and safe for you. Any information you provide will only be used to assess your suitability for our services and will be handled in accordance with our Privacy Policy.

Before You Submit

If there’s anything else you feel would help us understand your goals, current mindset or what you’d like to achieve through hypnotherapy, you’re welcome to include it in the final question or attach any supporting information.

 

The clearer the picture we have beforehand, the more time we can spend during your consultation focusing on what matters most to you and how Aurilah Therapy may be able to support you.

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Reprogram Your Mind for Riches, By Angela Murray

The beliefs shaping your confidence and financial decisions are not always obvious.

 

They may appear as undercharging, avoiding opportunities, feeling uncomfortable receiving more or repeating familiar patterns despite wanting something different.

 

Reprogram Your Mind for Riches explores how subconscious beliefs influence your relationship with money, abundance and possibility.

 

It is a natural introduction to Money Confidence & Abundance Hypnotherapy and a thoughtful companion for developing a more success-aligned mindset.

AURILAH THERAPY LTD

Contact

0141 255 0968

Company Number SC872326

Registered Address:

48 West George Street Glasgow, G2 1BP

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Aurilah® is a registered trademark of Aurilah LTD. Used under licence with consent by its subsidiaries. © 2026 Aurilah LTD. All rights reserved.

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