Therapy for Individuals

The purpose of this form is to gather information about who you are and to ensure that I am the right person to guide you.

Please note, that I do not offer refunds and rescheduling must be done 48hrs prior to our session, otherwise, the session will be forfeited, so please ensure that you are ready and able to commit to this therapy within a 12-week period before purchasing the 10 pack of sessions.