New Client Questionnaire

I, Jill Thomas, am a Certified Hypnotherapist, weight management consultant, past life regression specialist and intuitive life coach.

I am not a California licensed mental health practitioner or physician and I do not provide psychotherapy or any other form of mental health service which would require a California state license, nor do I hold myself out to provide such services.

I do not provide diagnosis or treatment of physical or mental conditions nor am I licensed by the state as a healing arts practitioner.

Hypnotherapy is considered a complimentary healing arts service that is not licensed by the state. For individuals or small groups, I provide individualized teaching, hypnotherapy, coaching and spiritual support designed to help people learn how to commit to and achieve their performance goals, and remove any unconscious barriers they may have to achieving lasting success.

Hypnotherapy is not always a quick fix nor is it intended to be a replacement for medical or psychiatric care. All hypnosis is really self-hypnosis. Individual results vary and are influenced by a person's readiness, receptivity, and commitment to creating lasting change.

While most clients achieve positive changes, there is no guarantee that you will achieve the results you desire.

Cancellation Policy
Missed appointments are subject to forfeiture with no refund given. Arriving more than 20 minutes late for a session is considered a “missed” appointment.

We require 24 hours’ notice to cancel or change an appointment.

Payment Policy
Payment is required at time of scheduling. Sessions purchased in a package can be used up to 1 year from purchase date.

** If you have ever been diagnosed with borderline personality disorder, bipolar disorder or schizophrenia please call the office prior to your appointment.