forms test

[ninja_form id=’4′]

Full Name (required)

Email (required)

Mobile Phone (required)

Reason or Goals for Session

Address & Country/State (required)

Do you suffer from psychosis or schizophrenia? (required)YesNo

If you have a history of psychosis or schizophrenia these sessions may be unsuitable. Please contact us directly to discuss options.

This session is via Zoom, and you must have the software and a private space for this where you will not be disturbed. Please check box to confirm agreement (required)Yes

The cost is £65, and you will be charged a 50% deposit now,to reserve your spot, and the remainder is charged on the day via cash/credit/debit card. Please check box to confirm agreement (required)Yes

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