Hypnosis Evaluation Test
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Yes
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No
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| Do you daydream? |
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| Do you get lost in TV? (sports, movies, soap operas) |
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| Does your car seem to drive home by itself? |
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| Do you always put on your shoes and socks the same way? |
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| When you think of your favorite car ... can you see the color? |
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| Have you ever left your house to go somewhere and passed it? |
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| When you think of your favorite food ... can you smell it cooking? |
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| Can you remember the words to songs you have not heard in years? |
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Total Your Points |
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If you answered yes to 3 or more in section I and are willing to make positive changes in your life, please proceed to Section II.
Section II
| Yes | No | |
| Do you fall asleep easily and stay asleep all night? | ||
| Do you find time to do something for yourself every day? | ||
| Do you have a satisfying job/career? | ||
| Do you feel fulfilled? | ||
| Are you always lucky? | ||
| Do you like your role in life? | ||
| Do you enjoy your life everyday? | ||
| Do you negotiate for the best resolution to conflicts? | ||
| Are you healthy and physically fit? | ||
| Do you have a plan for the future? | ||
| Are you ready to retire? | ||
| Are you an optimist? | ||
| Do you ever feel lonely or empty? | ||
| Are you free of addictions? | ||
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Total Your Points |
If you answered no to 5 or more in Section II, you could benefit from Hypnotherapy.
Please call us today at (972) 934-7066 or This e-mail address is being protected from spambots. You need JavaScript enabled to view it for your free 20-minute consultation with Dr. Jhon H. Whitaker.
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