Can you be Hypnotised to relieve Anxiety - Serenity Hypnosis Center

Welcome to your Can you be Hypnotised to relieve Anxiety

Name

Email

How often do you feel anxiety?

constantly

often

sometimes

only in specific instances

Have you ever been emotionally effected by a movie, story, etc?

almost always

often

sometimes

almost never

never

Do you currently have any of the following?

no

Scziophrenia

Bipolar

Autism

Psychopathy

Prefer not to answer

When do you normally feel anxiety

morning

afternoon

night

How much caffeine do you normally take?

none

just soda or tea

1 energy drink, coffee, etc

1-3 energy drinks, coffee, etc

more than 3 energy drinks, coffee, etc