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please complete the form below

choose the date and time to set up a preliminary PHONE CONSULTATION with me prior to scheduling our first appointment. in addition, i have included a few questions to further prepare me for our introductory chit chat.

*if you're not ready to book a PHONE CONSULTATION just yet, but would like more literature on any of my services, you can still use this form!

name *
name
telephone #
telephone #
age
gender
what date works best for a preliminary PHONE CONSULTATION?
what date works best for a preliminary PHONE CONSULTATION?
what time works best for a preliminary PHONE CONSULTATION?
what time works best for a preliminary PHONE CONSULTATION?
which service or package are you interested in? *
unfamiliar? visit the SERVICES page for a detailed list of services and packages offered