Guided Rewiring Session
Personalized 15–20 minute Guided Rewiring Session Delivered Within 3 Business Days
Name
*
First Name
Last Name
Email
*
example@example.com
What is the ONE issue you'd like this session to focus on?
*
How long have you been dealing with this issue?
*
Do you believe this issue is tied to any past trauma or specific event?
(Optional. You can share as much or as little as you’d like.)
What type of imagery helps you feel relaxed and safe? (Check all that apply or add your own)
*
Ocean/Waves
Forest/Trees
Campfire
Mountains
Open Sky
Garden/Flowers
A safe room or peaceful space
City
Other
What phrase or message would feel comforting or empowering to hear during this session?
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e.g., “You are safe,” “You are allowed to let go,” “This is not your fault”
What would success look like for you regarding this issue?
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Paint a picture—how would you feel, what would change, what would you be doing differently?
What have you tried in the past to resolve this issue?
*
Include anything from therapy, self-help, habits, medication/self-medication, or spiritual tools
What were the results of those efforts?
*
Be as specific or general as you’d like.
Have you ever tried mind-body practices before? (Check all that apply)
*
Meditation
Hypnotherapy
Breathwork
EFT/ Tapping
Brainspotting/ EMDR
Somatic Therapy
Visualization
No, I'm new to this
Other
Do you have any of the following conditions that may be contraindicated for hypnosis or deep guided states? (Please consult your physician or licensed mental health provider if unsure.)
*
A diagnosis of psychosis, schizophrenia, or dissociative identity disorder
Severe untreated trauma or panic disorder
Seizure disorder not under medical management
No, none of these apply to me
Disclaimer & Agreement. Please check the box below to acknowledge:
*
I understand that this session is not a substitute for medical or psychological treatment. I affirm that I do not have any condition that would make guided meditation or hypnotherapy inappropriate for me. I take full responsibility for my participation in this service.
Is there anything else you’d like me to know to help personalize your session?
Purchase
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Guided Rewire Session
15-20 minute personalized recording
$
47.00
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