Contact Form



QUESTIONS YOU MIGHT WISH TO ANSWER IN YOUR MESSAGE (you can copy/paste the questionnaire into the message box above, and then answer the questions, if that helps):


1) What is your name?

2) Are you a private individual, or are you a representative of a company or other organisation?

3) Which service is of interest to you (private sessions, group sessions, coaching, counselling, mediation)?

4) What do you hope to gain/how will the service be useful?

5) Do you have any questions for me?

6) What is your proposed session time, date, and venue? (I do not maintain an office space so that I can keep prices down.) Popular venues for individual sessions are quiet coffee shops/cafes, parks, the library, etc.  For groups, it is preferable to use local office conference rooms if you do not have your own venue or cannot run the program on your premises for some reason. (Affordable local venues include the Great Yarmouth Library and Falstoff House on Regent Street in Great Yarmouth.) I can also travel to your venue.

7) How do you prefer to be contacted?  Phone? E-mail? 

Please provide your preferred contact information:

8)    A. For individual clients: What payment form do you intend to use?

B. For companies/organizations: Please provide your organization's policy and procedure information with regard to purchasing services.