Forms

These forms are for our new clients. Please print, fill out, and bring the completed forms (the 5 forms found below) with you for your first hypnosis session. If you are not able to download or print these forms, no problem. Just read them over ahead of time and you can fill them out when you come in for your first session (or you can answer the questions on a separate sheet of paper and bring that along with you to save time in filling out the forms here, or I can mail them to you). Please email (ray@raystiles.com) of call with any questions (612-803-7541).

For all clients please fill out and bring these forms to your first session:

1. Welcome Form
2. Benefits Form
3. Client History Form
4. MN Client Bill of Rights Form
5. Fees & Terms of Your Hypnosis Sessions

For weight loss clients (please fill out and bring these forms too):

1. Weight Loss Program Questionnaire (page 1 of 2)
2. Weight Loss Program Questionnaire (page 2 of 2)
3. Weight History Chart

For stop smoking clients (please fill out and bring these forms too):

1. Non Smoker Daily List (bring to second session)
2. Non Smoker Reason's Why
3. Stop-Breath-Relax Technique for Non Smokers

Additional Resources:

1. Emotional Freedom Technique (EFT)
2. Stop-Breath-Relax Technique
3. Diaphragmatic (deep abdominal) Breathing Instructions
4. Self Hypnosis In 3 Easy Steps

7th Path Self Hypnosis

If you would like to learn 7th Path Self-Hypnosis, a mind/body/spirit approach (which will help reinforce all of the positive change work we will be doing and serve as a transforming life-long skill) I can also teach you that during any of our sessions together (there is an extra charge of $10 for the 64 page 7th Path self-hypnosis book).

Office Location

Hypnosis Performance Center
4820 Minnetonka Blvd. Suite #302, St. Louis Park 55416

Located just 4 blocks east of Hwy 100 on Minnetonka Blvd. and Princeton Ave. So. Building is on the north side of the street, parking is in the rear (off of Princeton Ave. So.). During winter I suggest parking on the west side of Princeton Ave. If you enter from the side door you will be between the 1st and 2nd floor so just go up 1 and 1/2 floors to the third floor. Click Here for Map. Please call my cell phone on day of appointment with questions or for directions to the office: 612-803-7541.

Fees

Fees for seeing a hypnotherapist for individual sessions at Hypnosis Performance Center are $125* (the first session includes the intake and assessment as well as a 20 minute video explaining what hypnosis is. *The acclaimed Hypnosis Performance Center's "2-Session Stop Smoking Program" is $275.

Sessions held away from the center are established on a case by case basis. Payment for each session is due prior to the start of each session. Payments can be made by cash, personal check, or credit card (using our secure PayPal online payment system). If payment is by credit card this payment must be made and received by the day preceding your first session. Click on the PayPal button for secure online payment.

  Hypnotherapy Sessions - $125.00 (secure on-line payment)

  2-Session Stop Smoking Program - $275.00 (secure on-line payment)

  2-Session Stop Smoking Program (Buddy System for you & your partner or a friend) - $500.00 for two people, individual sessions (secure on-line payment)

  64 page Self Hypnosis Booklet - $10.00

  $95.00 (secure on-line payment)

Right click (PC) to download this audio file to your computer (click "save target as"):

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You can find a wide variety of hypnosis and self improvement related products and information by clicking on the various resource links found on this website. Be sure to subscribe to our FREE email newsletter (coming soon).

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