HYPNOSIS REQUEST FORM Name * First Name Last Name What is your presenting issue or concern? * Are you aware of the root cause or limiting belief? (Y/N) Yes No If answered yes to the above question please explain in detail. * What do you need to believe in order to create resolution or manifest your desired outcome? Who do you need to become in order to embody health, wealth and/or whatever else you are manifesting? Is there anything else you would like to share? Leave your email so that if this recording is created, we can let you know! Thank you for taking the time! We will take all of this into account as we create new hypnosis audios. Happy Reprogramming!
