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Benefits of Making the

Changes You Want

First Name

Last Name

Email

Briefly describe the issue you'd like to work on.

Please list 7 benefits of making the change you want.

What is your 1 month goal regarding this issue?

What is your 1 year goal regarding this issue?

What is your 5 year goal regarding this issue?

If I wasn't _______________, I'd be much happier.

Anything else you'd like to share regarding your issue?

Wings Hypnosis, LLC welcomes ALL people with an open heart and mind regardless of gender orientation, political views, religious affiliations, or belief systems. Hypnosis is a co-operative partnership between the client and the facilitator to create change in both the conscious and subconscious space.

I am a Certified Clinical Hypnotherapist and Lifestyle Coach, not a Licensed Medical Doctor or Mental Health Professional.

Hypnotherapy services performed are non-therapeutic and not intended to take the place of professional counseling, medical, or psychological care and should not be used as a substitute for diagnosis or treatment of any condition. I do not work on pain or diagnosed mental or physical conditions without the referral from a licensed practitioner of the healing arts per Florida Statute Section 485. If you are under the care of a medical professional for any condition for which you are seeking hypnosis support, please obtain a signed, written referral from your provider prior to contacting me and moving forward with sessions.

3632 Land O Lakes Suite 105-8,

Land O Lakes, FL 33558

wingshypnosis@gmail.com

727-835-6566

Benefits of Making the

Changes You Want

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