Name *
Name
Phone *
Phone
For skype sessions, please provide your Skype address or international phone number and the best time to reach you.
* Please write it : 4th March 2016
If you are unsure, please give an estimate.
Type of Session *
Please indicate 3 preferred times & day that you would like to have your sessions on. I will select one and confirm with you.
Please let us know about any injuries or major health issues and if you are currently taking any medication and what kinds and for what.
Any other comments you feel will be useful for your session