{"id":227,"date":"2021-04-05T16:47:41","date_gmt":"2021-04-05T22:47:41","guid":{"rendered":"https:\/\/thedosealone.org\/?page_id=227"},"modified":"2024-11-29T11:13:24","modified_gmt":"2024-11-29T17:13:24","slug":"schedule-hypnosis-appointments","status":"publish","type":"page","link":"https:\/\/thedosealone.org\/index.php\/schedule-hypnosis-appointments\/","title":{"rendered":"Appointment Calendar"},"content":{"rendered":"\n<p class=\"has-text-align-center has-colibri-color-6-color has-text-color\">At the present time all consultations and sessions are being conducted on the phone or on line.<\/p>\n\n\n\n<p class=\"has-text-align-center has-colibri-color-6-color has-text-color\">Please use the calendar to schedule an initial free phone consultation so that we can talk about your interests and needs, what you&#8217;d like or need to work on, address any questions you may have, and talk a little about my process. I find that scheduling a time for me to call you helps to avoid the dreaded phone tag game and it insures that you have my undivided attention. From there we can get started and move on to the next step in working together. I look forward to speaking with you.<\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-16018d1d wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-font-size has-large-font-size\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/calendly.com\/thedosealonehypnosis\/30min\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Click Here to Schedule a FREE 30 Minute Consultation<\/strong><\/a><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-buttons has-custom-font-size has-large-font-size is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-16018d1d wp-block-buttons-is-layout-flex\"><\/div>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center has-large-font-size\">Client Questionnaire<\/h2>\n\n\n\n<p class=\"has-text-align-center has-medium-font-size\">If you are scheduling an appointment please take a moment to fill in the form below so that I may better serve you. Thank you.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-67af1e47-32a7-4e24-a7d3-9aab9c1cc9fc\" id=\"wpforms-479\"><form id=\"wpforms-form-479\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"479\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/227\" data-token=\"5379606a5fae8d6e6724da0216c2a64f\" data-token-time=\"1777295477\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-479-field_2-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"2\"><label class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-479-field_2\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][2][first]\" required><label for=\"wpforms-479-field_2\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-479-field_2-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][2][last]\" required><label for=\"wpforms-479-field_2-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-479-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-479-field_19\">Company or Organization (if applicable)<\/label><input type=\"text\" id=\"wpforms-479-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\" ><\/div><div id=\"wpforms-479-field_3-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-479-field_3\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-479-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-479-field_4-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-479-field_4\">Phone Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-479-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" step=\"any\" required><\/div><div id=\"wpforms-479-field_22-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-479-field_22\">WhatsApp Contact Information (if applicable)<\/label><input type=\"number\" id=\"wpforms-479-field_22\" class=\"wpforms-field-medium\" name=\"wpforms[fields][22]\" step=\"any\" ><\/div><div id=\"wpforms-479-field_20-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"20\"><label class=\"wpforms-field-label\">Which of the below services are interested in? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-479-field_20\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-479-field_20_1\" name=\"wpforms[fields][20][]\" value=\"Personal Hypnotherapy Services\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-479-field_20_1\">Personal Hypnotherapy Services<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-479-field_20_2\" name=\"wpforms[fields][20][]\" value=\"Safety, Health, and Wellness Consultation\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-479-field_20_2\">Safety, Health, and Wellness Consultation<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-479-field_20_3\" name=\"wpforms[fields][20][]\" value=\"Safety, Health, and Wellness Speaking\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-479-field_20_3\">Safety, Health, and Wellness Speaking<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-479-field_20_7\" name=\"wpforms[fields][20][]\" value=\"Coaching Services\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-479-field_20_7\">Coaching Services<\/label><\/li><\/ul><\/div><div id=\"wpforms-479-field_5-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"5\"><label class=\"wpforms-field-label\">How would you like to connect at our scheduled consultation time? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-479-field_5\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-479-field_5_1\" name=\"wpforms[fields][5]\" value=\"Zoom (I will provide a link to join)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-479-field_5_1\">Zoom (I will provide a link to join)<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-479-field_5_4\" name=\"wpforms[fields][5]\" value=\"Microsoft TEAMS (I will provide a link to join)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-479-field_5_4\">Microsoft TEAMS (I will provide a link to join)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-479-field_5_5\" name=\"wpforms[fields][5]\" value=\"WhatsApp (I will provide contact information and ask that you provide yours)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-479-field_5_5\">WhatsApp (I will provide contact information and ask that you provide yours)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-479-field_5_2\" name=\"wpforms[fields][5]\" value=\"Skype\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-479-field_5_2\">Skype<\/label><\/li><\/ul><\/div><div id=\"wpforms-479-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-479-field_6\">What is your goal?<\/label><input type=\"text\" id=\"wpforms-479-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" ><\/div><div id=\"wpforms-479-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-479-field_21\">If you are contacting me for Personal Hypnotherapy or Personal Coaching services please continue and complete the rest of the form. For any other services please stop here and click the submit button. Thank you.<\/label><input type=\"text\" id=\"wpforms-479-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" ><\/div><div id=\"wpforms-479-field_7-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"7\"><label class=\"wpforms-field-label\">Please check the issues you\u2019d like some help with:<\/label><ul id=\"wpforms-479-field_7\"><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-479-field_7_9\" name=\"wpforms[fields][7][]\" value=\"Personal Coaching Sessions\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-479-field_7_9\">Personal Coaching Sessions<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-479-field_7_10\" name=\"wpforms[fields][7][]\" value=\"Personal Coaching Enrollment in Resilience Refined Premium Package\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-479-field_7_10\">Personal Coaching Enrollment in Resilience Refined Premium Package<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-479-field_7_11\" name=\"wpforms[fields][7][]\" value=\"Assistance dealing with stress and anxiety related specifically to a toxic\/hostile\/psychologically unsafe workplace\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-479-field_7_11\">Assistance dealing with stress and anxiety related specifically to a toxic\/hostile\/psychologically unsafe workplace<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-479-field_7_2\" name=\"wpforms[fields][7][]\" value=\"Anxiety\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-479-field_7_2\">Anxiety<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-479-field_7_3\" name=\"wpforms[fields][7][]\" value=\"Stress Reduction\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-479-field_7_3\">Stress Reduction<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-479-field_7_4\" name=\"wpforms[fields][7][]\" value=\"Overcome Fear of Phobia\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-479-field_7_4\">Overcome Fear of Phobia<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-479-field_7_5\" name=\"wpforms[fields][7][]\" value=\"Build Confidence\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-479-field_7_5\">Build Confidence<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-479-field_7_6\" name=\"wpforms[fields][7][]\" value=\"Performance Improvement (in any area)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-479-field_7_6\">Performance Improvement (in any area)<\/label><\/li><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-479-field_7_1\" name=\"wpforms[fields][7][]\" value=\"Stop Smoking\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-479-field_7_1\">Stop Smoking<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-479-field_7_7\" name=\"wpforms[fields][7][]\" value=\"Weight Control\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-479-field_7_7\">Weight Control<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-479-field_7_8\" name=\"wpforms[fields][7][]\" value=\"Other\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-479-field_7_8\">Other<\/label><\/li><\/ul><\/div><div id=\"wpforms-479-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-479-field_8\">If &quot;Other&quot; please explain:<\/label><input type=\"text\" id=\"wpforms-479-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" ><\/div><div id=\"wpforms-479-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-479-field_9\">What have you done so far to address this?<\/label><input type=\"text\" id=\"wpforms-479-field_9\" class=\"wpforms-field-medium\" name=\"wpforms[fields][9]\" ><\/div><div id=\"wpforms-479-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-479-field_11\">What is going to be different in your life as a result of achieving this goal?<\/label><input type=\"text\" id=\"wpforms-479-field_11\" class=\"wpforms-field-medium\" name=\"wpforms[fields][11]\" ><\/div><div id=\"wpforms-479-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-479-field_12\">What has been holding you back from making this change?<\/label><input type=\"text\" id=\"wpforms-479-field_12\" class=\"wpforms-field-medium\" name=\"wpforms[fields][12]\" ><\/div><div id=\"wpforms-479-field_13-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-479-field_13\">How ready to change are you on a scale of 1 to 10?<\/label><select id=\"wpforms-479-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\"><option value=\"1\"  class=\"choice-1 depth-1\"  >1<\/option><option value=\"2\"  class=\"choice-2 depth-1\"  >2<\/option><option value=\"3\"  class=\"choice-3 depth-1\"  >3<\/option><option value=\"4\"  class=\"choice-7 depth-1\"  >4<\/option><option value=\"5\"  class=\"choice-6 depth-1\"  >5<\/option><option value=\"6\"  class=\"choice-5 depth-1\"  >6<\/option><option value=\"7\"  class=\"choice-4 depth-1\"  >7<\/option><option value=\"8\"  class=\"choice-8 depth-1\"  >8<\/option><option value=\"9\"  class=\"choice-9 depth-1\"  >9<\/option><option value=\"10\"  class=\"choice-10 depth-1\"  >10<\/option><\/select><\/div><div id=\"wpforms-479-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-479-field_14\">Why now? What motivated you to reach out to me today?<\/label><input type=\"text\" id=\"wpforms-479-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\" ><\/div><div id=\"wpforms-479-field_15-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"15\"><label class=\"wpforms-field-label\">Are you ready to make an investment of time and money to achieve your personal best?<\/label><ul id=\"wpforms-479-field_15\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-479-field_15_1\" name=\"wpforms[fields][15]\" value=\"Yes, if necessary, I would be willing to do so.\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-479-field_15_1\">Yes, if necessary, I would be willing to do so.<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-479-field_15_2\" name=\"wpforms[fields][15]\" value=\"No, I would not be willing to make an investment in myself.\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-479-field_15_2\">No, I would not be willing to make an investment in myself.<\/label><\/li><\/ul><\/div><div id=\"wpforms-479-field_16-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"16\"><label class=\"wpforms-field-label\">I understand that programs begin at $400 (Packages are $400 for three sessions of up to 90 minutes each, individual 90 minute sessions begin at $150), and I\u2019m willing to make that kind of investment in myself.<\/label><ul id=\"wpforms-479-field_16\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-479-field_16_1\" name=\"wpforms[fields][16]\" value=\"Yes, if necessary, I would be willing to do so.\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-479-field_16_1\">Yes, if necessary, I would be willing to do so.<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-479-field_16_2\" name=\"wpforms[fields][16]\" value=\"No, I would not be willing to make an investment in myself.\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-479-field_16_2\">No, I would not be willing to make an investment in myself.<\/label><\/li><\/ul><\/div><div id=\"wpforms-479-field_17-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-479-field_17\">Have you worked with a hypnotist\/hypnotherapist before?<\/label><select id=\"wpforms-479-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\"><option value=\"Yes\"  class=\"choice-1 depth-1\"  >Yes<\/option><option value=\"No\"  class=\"choice-2 depth-1\"  >No<\/option><\/select><\/div><div id=\"wpforms-479-field_18-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-479-field_18\">Please share any questions or notes you think I should know of in advance. Thank you.<\/label><textarea id=\"wpforms-479-field_18\" class=\"wpforms-field-medium\" name=\"wpforms[fields][18]\" ><\/textarea><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"479\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/thedosealone.org\/index.php\/wp-json\/wp\/v2\/pages\/227\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-479\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/thedosealone.org\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container --><\/div>\n<\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>At the present time all consultations and sessions are being conducted on the phone or on line. Please use the calendar to schedule an initial free phone consultation so that we can talk about your interests and needs, what you&#8217;d like or need to work on, address any questions you may have, and talk a [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-227","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/thedosealone.org\/index.php\/wp-json\/wp\/v2\/pages\/227","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/thedosealone.org\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/thedosealone.org\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/thedosealone.org\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/thedosealone.org\/index.php\/wp-json\/wp\/v2\/comments?post=227"}],"version-history":[{"count":25,"href":"https:\/\/thedosealone.org\/index.php\/wp-json\/wp\/v2\/pages\/227\/revisions"}],"predecessor-version":[{"id":619,"href":"https:\/\/thedosealone.org\/index.php\/wp-json\/wp\/v2\/pages\/227\/revisions\/619"}],"wp:attachment":[{"href":"https:\/\/thedosealone.org\/index.php\/wp-json\/wp\/v2\/media?parent=227"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}