Relationship Therapy

(For New Clients Only)

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. If you’re purchasing a 10-pack of sessions please ensure that you are both ready and able to commit to this therapy within a 12 week period before purchasing.