Let’s Get Started on Your Custom Recording.

Please complete this form to the extent you feel comfortable. The information you share here will help me craft a personalized hypnosis recording for you. This form is private and confidential.

Thank you and I look forward to working together!

Focus examples include but are not limited to:

Reduction/Management of Stress, Overwhelm, Anxiety, and Fear
Relaxation or Sleep
Confidence and Goal Accomplishment
Health and Wellness
Habit and Lifestyle Change
Inspiration, Hope, Future Visioning
Spiritual Exploration, Connection, Energy Healing

Name

First Name

Last Name

What would you like the focus of this recording to be?

What is the current state of this area of your life? What are you experiencing that you'd like to change?

What is the ultimate goal for this area of your life? What would you like to end result to be?

What might be the first 3 steps you should take to begin improving this area of your life? Or what are some things you can do (that are within your control) that you believe would help you in this area?

What specific challenges, fears, limiting beliefs, or blocks hold you back from having this result?

Once you have this result, how do you imagine your life will improve? What positive change will occur? How will you feel (emotionally and physically) having this lasting positive change in your life?

Are there other areas of your life that'd you'd like to improve or changes you'd like to implement?

Is there anything else you think I should know to help make this the best recording for you?

I'd like my hypnosis to be recorded:

With Music

Without Music