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Personalised - Bust The Habit Forever

Thank you for ordering your own personalised hypnotic recording. This recording will be based on your answers to the questions below. Utilising the type of language you speak, your habits, your beliefs, your fears - Wayne creates a very custom made recording to assist you with creating the change .... you want to become a non smoker.

Answer the questions. Then copy and paste to your email and send to Wayne at

Questionnaire - Bust The Habit Forever

Name ______________________________________________

Email ______________________________________________

Date of birth _________________________________________

1. Are you becoming a non-smoker for you or someone else? Yes or No

2. What are your top 3 reasons for becoming a non-smoker?

3. At what age did you have your first cigarette?

4. Have you tried to give up smoking before ? Yes or No

5. If yes to Q4. How many times? What methods? (patch, cold turkey etc)

How long did it last?

6. If you gave up and then returned to smoking...what caused that?

7. What is your trigger to smoke? (a time, a place, with coffee, with alcohol)

8. What 3 things do you regard as the best reward you can have for doing something well? Describe in detail.

9. What 3 things do you fear the most? Describe graphically.

10. What 3 things are the most vile, disgusting things that you can think of which make you totally nauseous.

11. What is one thing that you believe to be absolutely true? eg gravity, sun rises each day

12. What is something that is absolutely untrue about you? eg if you are male then female is untrue, if you are age 50 then age 21 is untrue.

Thank you. If I require more detail I'll send you an email to clarify. Your assistance will help me get your personalised recording just right for you!

Have an awesome day,


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