Please Complete The Short Application

Count 1 beer, 1 shot, 1 glass of wine as a standard drink

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How is alcohol negatively impacting your life?

Choose as many as you like

What do you do for work and what is your annual income?

Please confirm you are capable and feel ready to invest in coaching with Bardia and his team, otherwise please refrain from booking a call as Bardia and his team are focused on helping those ready to take action now.

I totally understand coaching might be out of reach. However, I don't want the investment of coaching to get in the way of you still getting access to the system that's helping my clients quit drinking.

Where did you FIRST discover me?

Do you promise to show up on time for the call on time and be ready to explore how Bardia can help you?

Bardia receives 5+ appointments / day and has a very busy schedule. No-shows and missed calls prevent someone else from getting the help they need.
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NeuroRepatterning™ is not a medical treatment or substitute for professional medical or psychological care. Always consult a qualified physician before reducing or stopping alcohol consumption if you may be physically dependent. Results vary.