Client Intake & Consent

Thank you for choosing Bespoke Hypnosis! This form helps me get to know you and prepare for our work together. It takes about 10 minutes. Only a few questions are required; share as much or as little as feels comfortable.

Everything you share is kept confidential and stored in secure client management software. Questions? Call or text Dana at 479-256-0211 or email [email protected].

Your wellbeing matters most. Bespoke Hypnosis is not a crisis or emergency service. If you are in crisis or thinking about harming yourself or someone else, please call or text 988 (Suicide & Crisis Lifeline) right away, or call 911 in an emergency.