STEP 2 - PLEASE FILL IN THIS REGISTRATION FORM TO COMPLETE YOUR BOOKING

Please enter this information so that I can prepare for the session. The session will be canceled if I do not receive the registration form. I treat your information with strict confidentiality. The questions are purely intended to prepare for our strategy meeting and to help you as well as possible.                                                                                                                                                                                                                                Applicationform

What is your motivation besides becoming pain free?
Do you have the financial resources to invest in yourself and your health?

I can only allow a maximum number of people per month to work with. Therefor I select people who are highly motivated  and where I consider having the best chance on being  pain free within 4 weeks. You will only be admitted to the program if I feel confident about it.