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Thank you for choosing Whitney Christina Hypnosis.  Please fill out Hypnosis Reasons form.  The information will be helpful during your session. 

Please list seven of the benefits you expect to gain from making the change you would like to make.

Benefits of making the change you want 

Check as many of the following as it applies to you, and fill in the blank space if appropriate. 

I’d be much happier.

If you have any questions about this form or hypnosis, please write them down here. 

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