Please complete and sign this form. It will help clarify the benefits you want to achieve using hypnosis.
First, think about the primary change you want to make in your life and all the ways this change will benefit you…how good you will feel, how you will behave, how your life will improve…
Then, think of this primary change as the main goal you are setting for yourself and enter this goal in the space below. Then, imagine that you have ALREADY achieved this goal and list some of the ways your life has improved on the 5 lines that follow. (Examples are included to get you started.)