Evaluation Test

Section I

	Yes	No
Do you daydream?
Do you get lost in TV? (sports, movies, soap operas)
Does your car seem to drive home by itself?
Do you always put on your shoes and socks the same way?
When you think of your favorite carÖcan you see the color?
Have you ever left your house to go somewhere and passed it?
When you think of your favorite foodÖcan you smell it cooking?
Can you remember the words to songs you have not heard in years?
Total Your Points

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.

	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?
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 email us for your free 20-minute consultation with Jhon H. Whitaker.

Take our Evaluation Test to see if you are a good candidate for hypnosis

Call 972-934-7066 with questions or comments about this web site.

This page was last updated on 12/11/07