Trance request form, known as "slave contract" in BDSM, specifies what you want, how far you want to go, your limits, what you agree your Mistress can and can't do

CURRENT SITUATION

Please describe your current situation, and why that leads you to request a session

EXPERIENCE

Please describe your previous experience of trance or therapy if you have any (or other experience relevant to your request)
What worked best, and what didn't seem to work so well?
Try the HypnoQuiz and report the result (this link will open a new window)

GOAL

Please describe what your goal is, i.e. what you want to get out of the sessions.

WHY

You've problaly had this problem for a while, so why is it important enough for you to want to change now?

PROOF

Please describe in concrete observable terms how you will know when you've reached your goal. How will you know you've gotten the result you wanted? What will others observe of you once you have changed? (if you want to stop doing something, or stop reacting in a certain way, specify what you will be doing or how you'll be reacting after the change)
The reason for this question is, some people do therapy with vague goals, get vague results, and don't know when to stop. If you can't imagine concretely what you'll be like after the change, that means your goal was too vague. On the other hand, if you have concrete goal, we'll be able to judge your progress by your answer here.

Linda: Session request form Please Install Yahoo Instant Messenger or ICQ Pro BEFORE filling out the form I file requests by Yahoo or ICQ nickname If a form does not have an Yahoo ID or ICQ nickname and number, it gets thrown into The Pile.
Your E-mail Address:
Your Name:
What is your age?
What is your birthday? (optional)
What is your gender:	Male Female Transgendered
What is your education:
What is your occupation?
What state/province are you in? (or country if outside of North America)
What time zone are you in? (I am in EST)
CURRENT SITUATION Please describe your current situation, and why that leads you to request a session EXPERIENCE Please describe your previous experience of trance or therapy if you have any (or other experience relevant to your request) What worked best, and what didn't seem to work so well? Try the HypnoQuiz and report the result (this link will open a new window) GOAL Please describe what your goal is, i.e. what you want to get out of the sessions. WHY You've problaly had this problem for a while, so why is it important enough for you to want to change now? PROOF Please describe in concrete observable terms how you will know when you've reached your goal. How will you know you've gotten the result you wanted? What will others observe of you once you have changed? (if you want to stop doing something, or stop reacting in a certain way, specify what you will be doing or how you'll be reacting after the change) The reason for this question is, some people do therapy with vague goals, get vague results, and don't know when to stop. If you can't imagine concretely what you'll be like after the change, that means your goal was too vague. On the other hand, if you have concrete goal, we'll be able to judge your progress by your answer here.
How do you feel about letting go and allowing someone else be in charge for a short time.? No problem, I can easily let someone else take over for a while I can let someone else be in charge for a while if there's a good reason I'd really rather be in control. I find it difficult to let go. I need to always be in total control of what's going on. I never let go.
Please describe your ideal therapist / counselor / guide. What kind of person are you looking for? Someone serious? Humorous? Detached? Empathic?

Describe the limitations you want on your requests: - Limits, things you don't want - Phobias or allergies you may have
Are you living with other people?	Yes No
Do you have children or other dependants who might need your immediate attention during a session ?	Yes No
Do you currently have a sexual partner or spouse ?	Yes No

Where did you hear about this website ? (if you did a search on search engines, I would like to know what you wrote in the search box to find me)	What can you afford ? Regular in person sessions (first session must be online or by phone to prove you are serious) Occasional in person sessions Regular phone sessions Occasional phone sessions Regular online sessions Occasional online sessions Just one session if I save up I can't afford anything... pretty please?
What is your wish? (the brief version of your request) Session extension Especially during the first session, the end of the hour may come at a critical moment, and it would be better to continue a bit longer for better results. If you're in trance at that time, you probably won't be in a state to decide objectively wether to prolong the session. Knowing you would pay for additional time after the session is done, how do you feel about the session being extended ? I don't want my session prolonged without being awakened and asked first I agree that my session can be prolonged by 15 minutes I agree that my session can be prolonged by 30 minutes I agree that my session can be prolonged by 60 minutes I agree that my session can be prolonged by as much as seems necessary. Online Chats software is my Yahoo Instant Messenger ID (preferred) is my MSN Messenger / Windows Messenger screen name are my ICQ name and number (Put the name AND the number) is my AOL Instant Messgenger (AIM) screen name are my IRC nick and network The operating software on my computer is (WinXP, NT, WinME, Win98, Win95, Win3.1, MacOS, Linux,...) What are your hours of availability for the next 7 days?
If you have not filled out the Situation, Goal and Proof, I will ask you to fill out the form again. Please do it right the first time. It is better to write more than not enough. By clicking here, I freely agree to have the changework done as requested by Linda. I understand what that implies, and I have read the disclaimer.

Linda: Session request form

CURRENT SITUATION

EXPERIENCE

GOAL

WHY

PROOF