Hypnosis Quiz

Hypnosis Institute of Texas, Inc.


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Hypnosis Responsiveness Questionnaire

1. Have you ever been hypnotized? ___________________Y _______ N

2. Have you ever seen anyone hypnotized? ______________ Y ________N

3. Do you believe hypnosis can help you w/your problem? __Y___ _____N

4. Have you ever walked or talked in your sleep? _____ ____Y ________N

5. Have you ever awakened in the middle of your sleep state and felt like you couldn't move or speak? _____________________________Y ________N

6. Are you basically a trusting person? __________________Y ________N

7. Do you have a vivid imagination? _____ ______________Y ________N

8. Do you day dream or involve yourself in fantasy? _______Y _______N

9. Are you able to concentrate on an idea or thought? ______Y _______N

10. Do you feel comfortable being touched by someone you trust? __Y _N

11. Are you open to new ideas? _____________________________ Y _N

12. Are you able to follow directions or instructions? ____________Y __N

13. Are you able to get in touch with your emotions easily? _______Y __N

14. Do you believe it's possible for a person to be healed by the power of his/her mind? _____ ____________________________________________Y __N

15. Have you ever wished you avoid taking medication? _________Y ___N

16. Do you enjoy reading fiction and get involved in the story? ____Y ___N

17. Are you basically a religious or spiritual person? _____________Y ___N

18. Do you find talking about the supernatural fascinating? _______Y____N

19. Have you ever meditated? _____ ________________________Y ___N

20. Are you able to sit or lie still for a period of time? _____ _____Y ___N

21. If you were to imagine sucking on a sour, bitter, juicy, yellow lemon, would your mouth begin to water? _____ _________________________Y ___N

If you answered yes more than no, then you are definitely hypnotizable.



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