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This isn’t a Free Fix.

It’s how I figure out if I can actually help you—

or if you're just spinning your wheels.

I don’t work with everyone.

This application makes sure I’m spending time with the right people—
and that you’re serious about doing the work.

If that’s you, fill it out. Be honest.

If it’s not? No hard feelings.
Just don’t fake it.

Why This Application Matters

Makes sure this session is the right fit for what you’re stuck in
Filters out the people who aren’t serious about change
Protects your time—and mine—so we can cut straight to what matters

First Name *

Last Name *

Email *

Phone *

Which best describes you? (To help us best serve you, please select the option that best describes your background). *

Veteran or Active-Duty Military

Military Family Member

High Achiever (Entrepreneur, Executive, Athlete, or Performer)

What’s the #1 challenge you’re facing right now that you'd like to overcome? *

Which of the following have you primarily tried to overcome this challenge? *

Meditation

Self-Help Book

Mindset Coaching

Therapy

Nothing Yet

Other (Please Specify Below)

If you selected 'Other,' please specify what you've tried.

Long-term change requires full commitment. How ready are you to take action and create lasting transformation in your life? *

1 - Not Ready at All

5 - Somewhat Ready

10 - Fully Committed

Are you financially prepared to invest at a premium level in expert-led hypnosis, assuming it's the right fit? (If you’re not ready to invest yet, that’s okay. But this offer won’t be the right fit right now.) *

Yes, I am fully ready to invest in myself

No, I am not financially ready at this time

I consent to receive SMS notifications, alerts, and occasional marketing communications from Veterans Hypnosis. Message frequency varies. Message & data rates may apply. Text HELP to (443) 962-1088 for assistance. You can reply STOP to unsubscribe at any time.

Serving Veterans, Military Families & High Achievers Nationwide

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📞 (443) 962-1088

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Hypnosis is a collaborative process. Individual results vary. This work is not a substitute for medical or psychological care. No guarantees of outcome are made. All sales are final.