Online Counselling & Coaching enquiries

If you would like to book an online session with me, please fill in the form below.

I will then contact you so we can:

Get you signed up as a client
Set a date and time for the first session

Your booking is confirmed when you return the signed contract and make payment.

Fields marked with * are required

First Name *

Last Name *

Gender *

Age *

City

State/Province/County

Country *

Mobile phone *

Personal email address *

Communication methods

Skype (video and voice, not text) - provide your Skype address WhatsApp (video and voice, not text) - provide your WhatsApp number Zoom (video and voice) Telephone (voice only) - you will be provided with a dial-in number in your country (so you don't have to pay International rates)

Brief explanation

Send a copy to your email

Online Counselling & Coaching enquiries

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