Evaluation Form

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Evaluation Form 2017-06-20T19:00:04+00:00

Sam Meranto’s Guided Meditation and Medical Hypnosis combined
are a Million times stronger than just Hypnosis!


Select below that the areas you feel you need help with in the form below, submit and upon receipt, we will review your information and contact you shortly.

This is only customized program in the world.

Upon our analysis of how you answered the questions below, we will select from our library of 1,800 sessions and create a personalized series for you.

Sam Meranto’s Guide Meditation & Medical Hypnosis Analysis Form

Emotional Challenges
Choose all that apply
DepressionThoughts of suicideAttempted suicideRelationship relatedDivorce relatedLoss of loved oneControl anger

Health Challenges
Choose all that apply
Weight: Lose # pounds - Gain # poundsAnorexiaBulimiaHigh blood pressureRelieve stressMigraine headachesDiabetesSkin problemsAcid refluxStop painInsomniaAlzheimersDementiaMemory Loss

Memory Challenges
Choose all that apply
AlzheimersDementiaMemory Loss

Addiction Challenges
Choose all that apply
Overcome AlcoholismQuit smokingQuit chewing tobaccoDrug addictionPrescription drug addictionGambling

Life Challenges
Choose all that apply
Worry & ProcrastinationOvercome shynessPositive attitudeStop being negativeBetter memoryImprove sex lifeLearn to forgiveIncrease sales

Were you close to your mother?YesNo
Were you close to your father?YesNo

Were you adopted?YesNo
Have you given a child up for adoption?YesNo

Are you SingleMarriedDivorcedWindowed

Have you ever had an abortion? YesNo

Have you ever been arrested? YesNo

When you enroll you will be on your way to unlocking the natural powers you have within! You can enroll on the phone from anyplace in the world. If you are looking at this website maybe God wants you to finally get some help.

The average person uses about 10% of their mind according to university studies. Everyone has natural talents and abilities that they are not using to their fullest extent. This program has proven to help thousands of people. Now, it’s your turn to get some help. There are many paths to life, and this program will help you get on the right path. Answer the questions truthfully. If you find any questions too offensive or personal, just overlook them. However, the more detailed information that you provide, the easier it will be for us to help you. Your evaluation is confidential, and this is your chance to get things off your mind that have been bothering you which could cause you to have all the problems listed above and many more not listed.

Allow up to two weeks to analyze and pinpoint the areas that you need help in. We will select from over 1,800 pre-recorded sessions after we have read your evaluation. We then put together your custom program in a carrying case. You will receive approximately 10 hours of recordings. If you live in Arizona you can pick them up personally. If you live out of state we will mail them to you. Our lifestyle analysis is based on Biblical teachings in helping you break the chain reaction of recycling past family problems and bad experiences. This will help people of any religion. On the VIP program, Sam will work with you up to a half a day for an additional charge. Sam puts his heart into the pre-recorded sessions and wants them to work for you long after he retires besides working with Sam personally is rarely ever needed. In case personal attention is needed he is training his help and doctors to carry on the tradition, and they will also continue to use his proven pre-recorded sessions. This program may just be what you’ve been praying for. ©2017 By Sam Meranto

More nurses have taken Sam’s program than any other occupation. They know what works!
Dr. Norris a psychiatrist said he learned more in Sam’s program than all of his medical training and 35 years in practice. See a doctor when losing weight, coming off medication or going through any self-improvement program. Get one that believes in God. Give us a time of day you are usually home & your phone number.

Your personal information


Current Marial Status? SingleIn RelationshipMarriedDivorcedWidowed
Any Children? YesNo

Your contact information

How did you hear about us?


Best date and time of day to contact you?

Program Donation
We are a non-profit organization, we charge people according to your ability to pay. Some people have gone through the program free of charge.

Act now this is a limited offer!

If you live out of the Phoenix, Arizona area, you can order your assessment analysis and program on-line. Total contribution $995, which includes FREE shipping and handling. On the right, we offer two (2) options for donations, either $995, Simply put $195 down and pay either $50 or $100 per month with installment payments over time (No Interest Charges) or $495 a one-time contribution and save $500! Select which one works best for you.

Internet special available for a limited time! Your donation is tax deductable to the fullest extent allowed by law.

We work like Doctors, Hospitals and other healthcare providers, we don't make false promises or guarantees. Thousands of people got results, now it's your turn. Maybe, God wants you to get some help.

$995 Installment Payment Plan$495 One-Time Internet Special
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