Customized Hypnotherapy Recording Form First & Last Name Phone Email Age Group 1- 10 10-20 20-30 30-40 40-50 50+ Gender Male Female Occupation Location Favorite Color What are your hobbies and interests? What is your favorite place in nature? Do you have favorite pets or people in your life? Is there anything you fear or prefer to avoid? What would a perfect day look like to you? How would you feel? What would you do? * What Attribute Best Describes You? CreativeLogical Which Hand Do You Write With? RightLeft What Kind Of Background Sounds do you like? Do you have spiritual beliefs that you want included in your recording? Describe your goals and what you deeply wish for. If I could wave my magic wand and your wishes would be granted, what would you experience? How would your life be different? Describe any obstacle that you have encountered or any concerns you have about achieving your desired outcome. How do you imagine you would you feel having your wish granted, your goals achieved? How would your life be different? cONTINUE
