I would love to hear from you. Name * First Name Last Name Email * Phone * Country (###) ### #### Preferred contact method * Email Phone call Please tell me a little about what leads you to seek support * This will help me determine the right fit for you How would you like to begin? * I am ready to proceed and would like to schedule an inital 1.5 hour session Request an email response to an initial question Request a free 20-min brief phone converasation What kind of support are you looking for? * Additional support - Assessment plus 5 fortnightly sessions followed by a re-assessment with bi-weekly messaging, followed by a re-assessment. Foundational support - Assessment plus 5 fortnightly sessions followed by a re-assessment. I am not sure and would like to discuss further. Prefered therapy modality * In person on a Tuesday By phone on a Tuesday In person on a Wednesday By phone on a Wednesday After hours (after 5pm) on a Tuesday After hours (after 5pm) on a Wednesday How did you hear about me? Anything else you would like me to know or any specific questions you have? Thank you!
