Booking Personlalized Recording

Book A Personalized Hypnosis Recording

Fill out the Booking form below.

PLEASE NOTE:

*INCOMPLETE OR BRIEF ANSWERS may limit my ability to create a meaningful session for you and may result in a cancel/refund.

Your answers are what I use to create your personalized recording. The more detailed and thorough your answers are, the more personalized and effective I can make your script.

If you are not willing to to take the time to thoughtfully and thoroughly answer the questions, a personalized recording may not be the right option for you.

First name

Last name

I understand that brief, one line answers DO NOT provide enough detail for a truly personalized recording. I am willing to answer the questions in DETAIL and if I am not prepared to do so, this service may NOT be the right fit for me.

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

It is completed. IF NOT - please stop and complete it before continuing with this form.

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 is your ONE topic?

Why is this change important for you right now?

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

What has this issue been costing you, limiting you from doing, or preventing you from experiencing?

If this problem/topic could speak to you, what would it say about you? What does it make you believe about 'who you are'?

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 do you get from responding in your usual way in the moment? For example: does it give you relief, comfort, control, reassurance, distraction, a temporary feeling of safety/love/protection etc.

Have there been times when you handled this situation successfully or responded differently? What was different about those times? IF NOT: describe what you would imagine successful handling looking/feeling like.

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

Please describe two or three realistic alternatives that you can use instead of falling back to your old pattern (i.e. drink of water, step outside, breathe/mantra)?

If this problem was no longer holding you back, what would be different?

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?

I understand a personalized recording is NON-REFFUNDABLE. When I hit submit I will be directed to PAYMENT

Consent Form

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Nicole Marie

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