Thank you for taking a few moments to complete this form. The information you choose to share will help Sonya better understand your hopes, needs, and goals, and how she can best support you. Please respond as openly and thoroughly as possible.
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Goals & previous experience What would you most like to gain, experience, or accomplish through your work with Sonya?Optional
How will you know that what you came for has been accomplished? What will be different in your thoughts, emotions, behaviors, relationships, or daily life?Optional
What approaches, resources, or strategies have you already tried? What felt helpful, and what felt less helpful?Optional
Have you previously experienced hypnosis or hypnotherapy? If yes, what was that experience like?Optional
Is there anything else you would like Sonya to know before you begin?Optional
Sonya’s work combines hypnotherapy, somatic integration, and personal-development approaches to support meaningful change, greater self-awareness, and lasting personal growth. Depending on the client’s goals, work may include hypnosis, guided imagery, mindfulness practices, somatic practices, stress management, habit-change support, and other evidence-informed approaches designed to encourage positive change.
Sonya is a Certified Clinical Hypnotherapist and NLP Practitioner. She is not a physician, psychologist, psychotherapist, psychiatrist, or other licensed healthcare provider. She does not diagnose or treat medical or mental health conditions. Her services are educational and supportive, and are intended to complement—not replace—appropriate medical or mental healthcare.
Hypnosis is a natural state of focused attention, and each person’s experience is different. Participation is voluntary. A client may refuse any exercise, pause, end a session, or discontinue services at any time. Hypnosis, guided imagery, and similar techniques may bring up memories, emotions, impressions, or mental images. These may or may not reflect actual events and should not be considered factual unless independently verified.
Hypnotherapy is a self-regulated profession, and hypnotherapists are not licensed by the State of California. Services support personal growth and self-improvement rather than medical or psychological treatment. No specific result or outcome can be promised or guaranteed.
Privacy & confidentiality Information is collected and maintained to support hypnotherapy and somatic services, communicate about appointments and services, and maintain accurate client records. It may be stored in secure electronic and/or physical files with reasonable safeguards against unauthorized access, loss, misuse, or disclosure.
Information will be treated as confidential and will not be released to third parties without written consent except when disclosure is required or permitted by law. Limits may include suspected abuse or neglect of a child, elder, or dependent adult; risk of serious harm to self or others; subpoena, court order, or other legal authority; or other situations required by applicable law.
Service, technology & practice acknowledgments Client acknowledgments
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