Forms

* For all smokers please fill out the following forms:

Form 1- Jungian 16 Type, Form 2- Appraisal Form, and Form 3- Bill of Rights.

Form 1 – Jungian 16 Type Personality Test:

http://similarminds.com/jung_word_pair.html

Form 2- Appraisal Form

https://energetichypnosis.com/wp-content/uploads/2019/01/Intake-Appraisal-1.pdf

Form 3- Bill of Rights:

https://energetichypnosis.com/wp-content/uploads/2019/01/Copy-of-Copy-of-Bill-of-rights.pdf

Weight Loss Program –

Forms 1, 4, 5, and 6, must be filled out prior to the 1st session.

Form 6 – Weight Loss Questionnaire:

https://energetichypnosis.com/wp-content/uploads/2019/01/Weight-Loss.pdf

Miscellaneous Forms –

For all forms other than Smoking Cessation or Weight Loss, please fill out forms 4 and 5.

Form 7 – Breathing Exercises:

https://energetichypnosis.com/wp-content/uploads/2019/11/Breathing-Exercises.pdf

Form 8 – Confidence Form

https://energetichypnosis.com/wp-content/uploads/2019/08/confidence-questionnaire.pdf

Form 9 – Changing Habit:

https://energetichypnosis.com/wp-content/uploads/2019/08/Change-Habits-2.pdf

Form 10 – Copy of Benefits & Myths:

https://energetichypnosis.com/wp-content/uploads/2019/01/Copy-of-MYTHS.pdf

Form 11 – Business Brochures:

https://energetichypnosis.com/wp-content/uploads/2018/08/Business-1.pdf

Form 12 – Fears & Phobias:

https://energetichypnosis.com/wp-content/uploads/2019/08/Fears-and-Phobias-Questionnaire-6.pdf

From 13 – PureBioenergy Consent Form:

https://energetichypnosis.com/wp-content/uploads/2019/05/IMG_6779.jpg