Client Participation Agreement




Mobile Phone:___________________________________








Referred by: ______________________________Internet______  Other__________


Prior Experience with Hypnosis / Meditation?______________________________________


Motivation for change – 1 very low -10 very high:______Stress Level 1-10­­­­­­­­________

Medical Conditions:_______________________________________________________________




Do You Have Pain?  - 1 – 10 - Where? _________________________________________________________________________




Are you under a Physicians Care for any of the above?____________________


Sleeping quality (excellent, poor, etc)____________________________________________________________



What issue(s) would you most like to change or improve?




Any Fears or Phobias?





Life Goals _________________________________________________________________________


The negative symptoms you’re experiencing have likely been years in the making.  Immediate, positive changes do happen but aren’t the norm.  Overwhelmingly the clients who have the most profound changes are the clients who are the most committed to change and stick with it.


Like physical training, mental training takes effort and discipline. The more you put into this work, the more benefits you can expect to receive.


We use the tools of coaching, hypnosis, your inner-guidance and NLP. I will provide self-hypnosis and affirmation tracks for you to use at home to accelerate your change.


I will respect your privacy and your name won’t be connected to any sensitive details of your sessions.


We may be healing old, emotional wounds.  When this happens there can be emotional detoxification as old energy is released from your body.  In other words, things can sometimes feel worse before they feel much, much better.


Please initial here: ­­­­­­­­­___________________

PRICING OPTIONS:      (choose one after 1st session)


Hourly: $170/hr.  OR Discounted Packages ---


Basic: $918  This basic package includes 6 session hours.  It also includes 2 of our self-hypnosis audio mp3 tracks to maximize the effectiveness of your sessions while you listen at home. For some with less complex issues this short-term approach may be sufficient to provide resolution. 10% Discount over the hourly rate.


Committed: $1,734 For most, this will be the best choice: 12 session hours and includes 4 of our self-hypnosis audio mp3 tracks to maximize the effectiveness of your sessions while you listen at home. 15% Discount over the hourly rate. 

Fully Committed: $2,448 In-Depth includes 18 session hours, 6 of our self-hypnosis audio mp3 tracks to maximize the effectiveness of your sessions while you listen at home. This is the most effective and economical approach.  20% Discount over the hourly rate.

Sessions are usually 1-2 hours in length.  Packages:  Unused hours expire one year after purchase. Pro-rata refunds based on $170/hr. are not available 45 days after purchase. Cancellations with less than 24 hrs notice subject to 1/2 hour fee.


Work done with Peter McLaughlin / BlueSky is for self-improvement purposes only and not to be construed as a medical cure for any condition or as a substitute for standard medical or psychological care by licensed medical or psychological personnel.


I am of legal age and I hereby release and discharge Peter McLaughlin and BlueSky Works LLC - DBA BlueSky Hypnosis from any claims, damages or any other actions resulting from my sessions with same.