MINDSHIFT HYPNOSIS + LIFE COACHING
Complete this before your first session. It takes about 10–15 minutes. ¿Prefiere español?
This worksheet helps us personalize your hypnosis session using your own words. There are no wrong answers, and everything you write is kept private.
For the best results, please fill out the entire worksheet, every section, with as much detail as you can. The more we know in your own words, the more personal and effective your session will be.
Check every theme that fits, then write your #1 priority below.
Negative belief (NC): a thought about yourself that holds you back, in your own words, e.g. "I'm not good enough," "I'm not safe," "I can't control it," "I always fail." Positive belief (PC): what you want to believe in place of the negative one, even if it does not feel true yet, e.g. "I am enough," "I am safe now," "I am in control," "I can succeed." List as many as you wish. In the last column, rate how true the positive belief feels right now from 1 (not at all) to 7 (completely true).
One pair per row. The rating is how true the positive belief feels right now (1 = not at all, 7 = completely).
Fill in only what applies. We use these words in your session so it feels like yours.
Which do you prefer? (check any)
Is there anything you would like us to avoid in imagery? (check any)
By submitting, I confirm this information is true to the best of my knowledge.
