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Feedback

We use ALL of your feedback to improve our website, so if you've got anything to say, please do feel free to use the form below.

All the questions are optional, but the more information you can provide, the more we can tailor the site to suit your needs!

About You

First Name

Surname

E-Mail Address

What gender are you?

Male
Female

What is your age?

Roughly, where do you live?

About Your Visit

What sort of information are you looking for today?

Did you find the information you were looking for?

Yes
Partially
No

Have you visited our site before?

This is my first visit
I have visited before
I visit regularly

Which of these statements best describes your tour around our site?

Agree

Neutral

Disagree

The site is easy to navigate

The site uses plain English

The information is easy to find

The information is easy to understand

The site looks professional

The site looks appealing

Are there any other ways that our website could be improved?

Which of these descriptions apply to you?
(Tick all that apply)

I am looking for information for my anxiety
I am looking on behalf of someone else
I am looking to find help for my / their anxiety
I am looking for healthcare professional
I am a healthcare professional
I am a researcher

Anything Else?

Is there anything else you would like to add?

Please enter the word shown
(this helps us prevent automated entries)

Your Name

Your Location

E-Mail

Age

What would you like to do?
Book an Initial consultation
Changing Limiting Beliefs
Stop Smoking
Other (please specify)
   
Where would you like to do it?
North London
Cambridgeshire (Chatteris)
Essex (Takeley)
Online via Webcam (Skype)
I would like to find a therapist in my local area
Telephone

Further details

Anxiety
Anxiety Attacks / Panic Attacks
Commitment Phobia
Confidence
Depression
Emetophobia - The Fear of Being Sick
Erectile Dysfunction (ED)
Impotence
Nail Biting
Obsessive Compulsive Disorder / OCD
Performance Anxiety
Post Traumatic Stress Disorder / PTSD
Premature Ejaculation (PE)
Self Confidence
Sexual Performance Anxiety
Sexual Problems
Sleep Problems / Insomnia
Social Anxiety / Social Phobia
Stage Fright
Stopping Smoking
Stress
Vaginismus / Vaginism
Weight and Eating Issues
   
 
Pure Hypnoanalysis
Changing Limiting Beliefs
Suggestion Therapy (Clinical Hypnosis)
   
 
Stopping Smoking with Hypnosis
   
 
About Us
What We Do
Where We Do It (Locations)
About Paul Douglass
About Denise Douglass
Contact Us