EPIC Custom Hypnotic Recording Input Form

  • EPIC Custom Hypnotic Recording Input Form

    Please fill out the information below with as much detail as possible to ensure the most effective version of your hypnotic recording. When you have completed this form, you will see a link to schedule a 1 hour phone call to ensure we have the information needed and clearly understood. Once the recording is created (as an .mp3 file, a standard type of music file), it will be uploaded to a cloud server and you will receive an email with a link to download the file to whatever devices you would like to use to listen to it. We encourage you to listen daily for at least a few weeks to allow the hypnotic reprogramming to fully take hold in your subconscious, resulting in the most effective and efficient way to experience the desired change(s). You will also receive a follow up email that includes a link to schedule additional sessions, which use different protocols, to increase the positive and lasting effects of the change(s) you are looking for.
  • Format: (000) 000-0000.
  • Gender pronouns*
  • How did you hear about us?*
  • How would you prefer to do your call to discuss this form with the hypnotherapist/hypnocoach (a Zoom link was included in the confirmation email when you booked the call, but isn't needed if you prefer to do it with a regular phone call, in that case we will just call the phone number above)?*
  • Do you have any significant hearing loss (if yes, the volume for the background music in your recording will be reduced significantly)?
  • Your recording will by approximately 30 minutes long, what is the best description of when you'll most likely be able to listen to it?*
  • Please rate your readiness for the change you're looking for.*
  • What category of change are you looking for?*
  • Indicate any emotions that you feel about life before (without) the change(s) you want.*
  • Indicate which of these self-limiting beliefs you identify with (if any)
  • Which of these feelings best describe how you want to feel when you achieve this change (try to select at least 10, more if you can)?*
  • Should be Empty: