Instructions

Use the form below to make an appointment for an online consultation or to initiate email counselling or coaching/mentoring. Once you 'book your consultation', I will either contact you via email to arrange the most suitable time for the both of us to meet online, or in the case of email counselling or coaching/mentoring, ask for further clarification of your problem or issue. In my response, I will also provide instructions on how payment can be made. I will make contact with you within 48 hours of submitting your request.

If you require an online consultation please ensure you include three alternate times which are suitable to you when you complete your booking request. If you require email counselling or coaching/mentoring you may use the comments text field at the bottom of the form to outline your problems or issues or to pose questions which you require my professional guidance in answering.

For more detail on the online counselling process, please refer to how it works.

Online Booking Request

Type your first name:


Type your email address:


Service required :

counselling online
counselling via email
coaching online
coaching via email

Location (City, State, Country)

Daylight savings in use*:

Yes
No
Please list three possible times within the next week for which you will be available for an online consultation. (Give the time at your location)*:
time1 date1
time2 date2
time3 date3


If you require realtime online counselling (not via email), please select your preferred online counselling method*:
ICQ
MSM (Microsoft Messenger)

Please provide any further details/comments you feel are necessary to allow me to help you - if you require email counselling/coaching you may also use the field below to ask questions or define your problems/ issues. I will respond for further clarification of your problem or issue before I assist you:

Note: Please complete all fields marked with an * are required if you wish to book an online consultation. They may be left blank if you will be counselling/coaching via email.