HOW TO CONTACT ME

Your title (required)—Please choose an option—MrMrsMsDrYour first name (required)
Your surname (required)
Your email (required)
Telephone number you'd like me to call you on
Days and times when you're available for me to call you - please give several as I am often busy seeing clients. If you do not wish other people in your household to know you are considering having hypnotherapy, please state this here and I will protect your confidentiality by not leaving a message and calling back at a later time, otherwise I will leave a brief message.

Condition/symptom I'd like to discuss with you (please give very brief details)
Your Message