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
6. 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.
