Custom Hypnosis Audio
Name
*
First Name
Last Name
Email
*
example@example.com
Have you ever been in Hypnosis before?
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Yes
No
What is the main OUTCOME you are looking to create? Be as specific as possible. i.e. How much? By When?
*
Why do you want this?
*
Which do you consider yourself more of?
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Auditory (responsive to sound)
Visual (responsive to images
Kinestetic (responsive to feelings/sensation
Type option 4
How does the problem affect you now?
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Write a Short Story about your New Life after this outcome has already been achieved
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Create FIVE sentence, stated in Present Tense regarding the Positive Benefits/Feelings you will have as a result of achieving this goal.
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What are the positive feelings you will have once you have achieved this goal?
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Alive
Delighted
Proud
Calm
Excited
Relieved
Capable
Strong
Confident
Happy
Content
Hopeful
Courageous
Lovable
Other
Create 10 Positive Personal Affirmations about this Goal
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Why and How badly do you want this change?
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List anything you have done that is already working for you
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Do you prefer background music?
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Yes
No
Would you like your name mentioned?
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Yes
No
How long would you like this to be?
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15 mins
20 mins
25 mins
30 mins
How Long of an induction would you like? (The part where I'm getting you into hypnosis.)
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2 mins
5 mins
8 mins
10 mins
List any additional information you want to include.
*
Submit
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