Before your session COUNSELLING SHEET

Thank you for booking. Our time together is limited, so we would rather ask what we can ask beforehand. This takes three to five minutes.

About you

Your name and email address are required.

Please use the same one as when you booked.

For your safetyrequired

We work on the abdomen and the jaw. Please answer No or Yes to each. Only if Yes, tell us a little more.

If you are pregnant we may change what we do, or ask you to come another time.

Please add roughly when, if you remember. It changes how we work.

What has been happening

Say it however it comes. You do not need the right words for it.

How you found us

This one helps us most. Knowing where you found us helps us reach others with the same trouble.

Last of all

How we use what you wroterequired

We use what you write here to make the session safe, and, as anonymous statistics, to make what we offer better. Nothing that identifies you leaves us.

May we show your case?optional

We do not yet have many cases we can show. If you are willing, it helps us reach others with the same trouble. Leaving this unticked changes nothing about your session.

Thank you

We look forward to meeting you.
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