A few questions to get started....

I know form filling can be a pain in the neck, but if I can gather some details now it will save us a lot of time when you come for your consultation.

Full Name *

Address

Address *

Village/Town?City *

Postal code *

Date of birth *

Email *

Phone *

How long has this been going on for you? *

Do you have a preferred day/time for your first appointment? Tick as many sessions that you can make. *

Anything else you’d like me to know?

Communication: Your privacy is important to me. I want to communicate with you about the things you want to hear about. Please take a moment to choose what is right for you. Should you wish to change your preferences you may do so at any stage by following the link at the end of all email communications. *

Mandatory: Emails for appointments and invoices

Optional: Occassional newsletter, opening/closing info, events

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