Questionnaire Questionnaire Customized Audio Recordings Name First Last PhoneEmail Have you been hypnotized before?YesNoWhat is the main objective of this hypnotic recording? Please be as specific as possible.How does the challenge affect you now?Write five positive statements in the present tense about the benefits you will receive as a result of achieving your goal.Please write a description about your new life after you have reached the desired outcome? Include a few paragraphs and be specific, please.What positive feelings will you have once you achieved the goal. Pick at least three.ProudHappyConfidentStrongExcitedRelievedContentHopefulCourageousLovablePeacefulWhy do you want this change?How passionate are you about making this change?Have you worked on this goal prior to contacting us? What have you done?What is stopping you from achieving your goal?Create ten positive statements from limiting beliefs you may have yourself or achieving your goal. Example: "I have always been fat" becomes "I can see myself as thin and lose weight easily|"Do you respond more toFeelings/TouchSoundHearing/ListeningDo you want background music?YesNoTitle of RecordingPlease include anything else relevant to share about this personal challenge.