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Before counselling sessions can begin I need to know more about you. Obviously the more you can tell me about your situation and any background information you feel relevant, the faster we can begin the actual process of counselling. This way you will gain the maximum benefit for your time and money and the process will be able to move at a faster pace.

Please do not worry about spelling, as long as I can make sense of what you have written the spelling is unimportant. I want you to write freely without censoring yourself and with honesty .

After I have received this information I will send you an e-mail of acceptance, details of how to pay and your personal e-mail address to use during our sessions.

Please complete the following form to proceed:

Your Full Name:
Sex: Male: Female:
Age:
Email address:
Confirm Email address:
Postal address:
Postcode:
Occupation:
Marital Status:
Please also include any other information you feel you can tell me about yourself, and of course, what you would like to look at / work with during our sessions together:
I have read the terms of service (link opens a new window)

 

If you would like to send my an email with out using the form please send to: enquiries@emailcounselling.co.uk

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