Past Life Regression Volunteer Form

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Hypnotherapist and Host of the World's most popular Hypnosis Podcast 'The Hypnotist', Adam Cox is currently working on a proposed TV show based on the theme of Past Life Regression. By completing this form you are giving your consent to any content to be recorded as past of your free session and that this content may be used on the podcast, YouTube, Social Media, as part of a pitch deck to possible production companies and other other possible use. If you would prefer to work with Adam confidentially then you can schedule a free consultation call to explore a paid client session where all personal details are confidential. Link for consultation call: https://go.oncehub.com/adamcox

If you are selected to be a volunteer within the next 30 days you will be provided with a booking link to schedule your free 60 minute session with Adam that will include a before and after interview and the past life regression session. The total time required will be about 60 minutes. Thanks

Email *

Record my email address with my response

Your Name

Your country and city:

Your Mobile/Cell Number (including dialling code):

Your Email Address:

Age:

Your previous experiences with hypnosis:

Why are you interested in a past life regression hypnosis session?

Have you ever had any traumatic experiences or mental health issues that you believe may impact your experience during the session?

Are you comfortable being recorded for use on a podcast, YouTube, or a future TV show?

Yes

Maybe

Clear selection

Do you have any specific questions or concerns about the past life regression process or its potential outcomes?

Is there an area of your life you'd like to make a change in or any issues you'd like to see resolved?

What social media channels are you happy to share your past life regression session or experiences on and what platform has the biggest audience?

How did you hear about this opportunity?

Podcast

YouTube

Social Media

Website

Other:

Clear selection

Consent for Recording and Usage:

I consent to being recorded and having my session content used for the specified purposes

I do not consent to being recorded or having my session content used.

Clear selection

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