There are 3 documents to fill out, review and/or sign. 

Please do your best to complete these the day before your appointment. 

1) Questionnaire-

Select ONE 

• General Behavior-Habits, Stress-Anxiety, Improvement, Balance in Life, etc.
• Alcohol/Drug Dependency
• Smoking Cessation/Stop Dipping/Stop Vaping
• Weight Management
• Sexual Performance
• If you don’t see a form specific for you, please use General Behavior.

2) Your Suggestibility Evaluation

‘Suggestibility’ is how you take in information, it is about communication, hypnosis is simply communication.   Return via scan, send me your score or bring with you the day of your appointment. 

Please download here: Suggestibility Questionnaire

3) Disclosure and Engagement Document

PDF Version: Please read and sign

If you have issues with this form, I have printed copies in the office for you.

Thank you for the wonderful session. I was still floating in the Light when I left.

It meant so much to me to totally disconnect from the conscious world and find my secret garden. The first time we met (10 years ago), you made a great impact on my life. 

Joy – Addison