Your Hypnotherapy Intake - Soul's Journey

We suggest keeping your answers simple for now. You and your hypnotherapist will review everything at the beginning of your session.

Let Us Get to Know You 


Question 1 of 8

What is your desired outcome from this session?

Question 2 of 8

Have you ever had hypnotherapy before?





Question 3 of 8

Are there any recurring issues in your life you'd like to resolve, know more about, or understand better? 

Question 4 of 8

Is there anything you struggle with (pain, phobia, etc.) that doesn't have a clear explanation to you? 

Question 5 of 8

Are there any relationships in your life you'd specifically like to investigate or understand more about?

Question 6 of 8

Are there any abilities, talents, or skills you'd like to return to and bring forward?

Question 7 of 8

Do you have any strong spiritual or religious beliefs you'd like us to be aware of? We'll always follow your lead to ensure that your sessions are aligned with your world views and beliefs.

Question 8 of 8

Please read and acknowledge our policies and procedures.

(Select all that apply)

I confirm that I have read and agree to the policies and procedures found here:

Confirm and Submit