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What is Hypnosis Used For?
Initial Consultation
Blog & Photos
Resources
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Initial Consultation
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& Photos
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Homework Questionnaire
Name
Describe the place(s) that you feel the most safe and comfortable (real or imagined), where nothing could bother you:
Describe unpleasant places or fears that you have:
Describe 3 specific instances when you experienced an accomplishment you have been most proud of (lots of details please!):
Who will support you or sabotage your efforts to accomplish your objective and what might that look like?
Results (goal) I want:
Behaviors I need to change to see the results I want:
How I will know when I am successful:
My beliefs about this goal:
Expand 5 specific positive benefits to be gained from hypnosis & how they will change my life: reframe, add or subtract from my original benefit list on the questionnaire:
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Roberta@farehypnosis.com