Booking Personlalized Recording

Book A Personalized Hypnosis Recording

Fill out the Booking form below.

PLEASE NOTE: If your email is incorrect, I will not be able to message you back or book your session.

First name

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Consent Form (this is a separate form to fill out)

It's completed already

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Had hypnosis with you before/form filled out then

TO ASSIST ME WITH YOUR HYPNOSIS SESSION: Your answers create your session. Take some time to reflect and be THOROUGH as we want an effective session. BRIEF ANSWERS MAY LIMIT my ability to create an effective session!*

What would you most like to change, improve, or experience differently?

What made you decide that now is the right time to work on this?

How does this issue currently affect your thoughts, feelings, behavior, relationships, work, health, or daily life?

When is this issue strongest? Consider particular situations, times of day, places, people, emotions, or events that may influence it.

What usually happens immediately before you experience the unwanted thought, feeling, urge, habit, or behavior?

What thoughts, emotions, physical sensations, or body signals do you notice at that time?

What do you typically do in response, and what usually happens afterward?

What does this pattern seem to give you in the moment, even if it later creates difficulties? For example, relief, comfort, excitement, distraction, control, protection, connection, or a sense of safety.

Have there been times when you handled this situation successfully or responded differently? What was different about those times?

When you notice the old pattern beginning, what would you prefer to think, feel, or do instead?

Please describe two or three realistic choices or responses you would like to have available in those moments.

What would help you feel calm, safe, confident, motivated, focused, or in control?

Are there particular words, phrases, images, memories, places, sounds, or sensations that help you feel positive or empowered?

What would you like to believe about yourself as you make this change?

How would you like to feel when you are responding in a healthier or more helpful way?

Imagine that this change is already becoming natural and comfortable. What would you notice first?

What would be different in your everyday life if this issue no longer controlled you?

What would you be able to do more easily, enjoy more fully, or feel more comfortable doing?

Imagine yourself three, six, or twelve months from now having made meaningful progress. What would your future self be thinking, feeling, and doing differently?

If your future self could offer you encouragement or advice, what would you like that message to be?

Is there anything specific you would like included in the recording, such as a goal, affirmation, visualization, personal image, meaningful memory, or preferred way of describing your desired change?

Is there anything else about your experience, your goal, or the change you want to make that would help me create a recording that feels personal to you?

For Method of Payment, do you prefer:

E-transfer in Canada

Square invoice sent to email (can pay with credit/debit/apple pay)

I understand a personalized recording is NON-REFFUNDABLE

Consent Form

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Nicole Marie

Prices are CAD$
All prices include applicable taxes.
Prices in USD are estimated.