Can you be hypnotized to quit drinking? - Serenity Hypnosis Center

Welcome to your Can you be hypnotized to quit drinking?

Name

Email

Have you ever quit drinking before?

no

yes, 1 month

yes, 6 months

yes, 1 year

yes, over 1 year

How long have you been drinking for?

1 year

1-5 years

5-10 years

10-20 years

20+ years

Have you used any quit drinking aides?

no

yes

Do you currently have any of the following?

no

Scziophrenia

Bipolar

Autism

Psychopathy

Prefer not to answer

How often do you drink?

once a week

every other day

everyday

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

almost always

often

sometimes

almost never

never