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 Karl R Zimmer III, Inc. BBB Business Review


Karl R. Zimmer III is a
Board Certified member of the
National Guild of Hypnotists.


Karl R. Zimmer III, was
Licensed & Certified
by the State of Indiana.
License No. 38000108A




Go to
Karl R. Zimmer III's
Main Site


Thank you for visiting our Forms & Consultation page.

This is where you can download the appropriate forms or confidential questionnaires which will help us prepare for your initial consultation and design the most effective program for you.

The initial consultation is your opportunity to have all your questions answered and to get to know me to be sure you want to work with me. It is also my opportunity to assess whether you are a good candidate for the work I do. I will only work with someone I believe I can help. During the initial consultation, I will provide you with valuable information that you can use whether we decide to work together or not.

Click on the Title to download the appropriate form. All forms are in PDF format so you can easily download, print, complete, and return them. Instructions for returning the forms are on each form. The form will appear in a new window or tab, and you can either save it or simply print it. Fill it out and return it according to the instructions on the form. If your browser or software allows you to annotate a PDF form, you can complete it that way and then simply save it under a new/different name before returning it to us.

Basic Questionnaire This form is our basic, confidential questionnaire to use when you aren't sure which other form to complete.

Smoking Cessation This form is if you want to become a nonsmoker (can apply to chewing and variations of the habit).

Sports/Performance This form is if you want to improve in a sport or other performance related issues.

Dealing with Stress This form is if you are having trouble dealing with stress in your daily life or are going through a stressful time in your life. This may also apply to overcoming the stress related to a past event.

Substance Abuse This form is if you need help with over-indulging in various substances. If you are truly addicted, seek appropriate, professional help.

Weight Loss This form is if you want to gain control of your weight. This is not a quick-fix but rather a rational, evidence based approach to losing extra weight and maintaining a healthy weight.


If you have any questions, are unsure which form to use, or would like to comment, please fill out the form on the Contact page.


Thank you for visiting!


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