Open2Hypnosis
  Opening yourself to the possibilities life offers....

 
 

 

 

First, let me thank you for being a client. It is important to me that you receive the best possible benefits from my services. By filling out this form, you will help me become better at providing quality hypnosis and Reiki service to you and all my clients.

Contact Information

Name
Title
Company
Address
Telephone
FAX
E-mail

Have you been using your enhancement CD?

Any comments about the CD?

 

What positive suggestions (self-hypnosis) have you been giving yourself?

          

What did you like most about your last sessions?

       

What changes have you made since your last session, up until today?

       

What progress have you noticed in achieving your goals?

       

What other positive benefits have you noticed from your self-hypnosis along with the guided sessions?

       

Do you have any questions about what we have been doing so far in your guided sessions or with your self-hypnosis?

       

Any suggestions on how I can work to make this easier or better for you?

       

 

I would like your permission to use some of your comments in part or full for marketing purposes. In doing so, I would use only your initials and last name, or just your initials and your city of residence. Please check all of the following that are acceptable to you.

    Yes - you have my approval to use my comments with my initials and last name

    Yes - you have my approval to use my comments with my initials and city of residence

    No - I would prefer you not use my comments

In order to submit this form, you must type the word and symbol in the above picture into the following box.  This helps me avoid automated webbots submitting this form.

 

 

 

 

 

 

 

 

 


Last modified: 08/23/10