Quick Booking Would you like to start a booking now? Then please complete these six short questions, to help us create your appointment. Name Email Phone New or Returning Client? 1. What are your therapy needs? Relationship Issue Public Speaking Anger Management PTSD Weight Loss Managing Anxiety or Stress Improving Confidence Resolving a Fear or Phobia Eradicating Outdated Habits Mindfulness and Relaxation Other Issue 1 out of 6 2. How would you like to receive your therapy, online or at Diana's home clinic? In person, at Diana's clinic Skype WhatsApp FaceTime Audio Only 2 out of 6 3. Choose one or more days that are best for your appointment? Mondays Tuesdays Wednesdays Thursdays 3 out of 6 4. Choose one or more times that are most convenient for you? Early afternoon 12:00 till 3pm Late afternoon 3pm till 5pm Evening 5pm till 7pm 4 out of 6 5. What are you hoping to achieve with this therapy? 5 out of 6 6. How would you like Diana to contact you with the booking information? Text Email I accept the Privacy Policy of this questionnaire 6 out of 6 Time is Up! Time's up
