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Counselling Enquiry

Thank you for exploring counselling options with me.  Please complete the following form so we arrange an initial consultation. If you have any further questions, please don't hesitate to get in touch with me at counselling@durban.co.uk


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Email *
Name *
Comments
Explain why you would like to receive counselling (optional)
Counselling is only available online.
Are you happy to receive counselling on Zoom?
 *
Required
Phone number (optional)
When can you participate in counselling?  *
Tick all options which might work for you, depending on the day and time.
Required
When would you like to start your counselling sessions? *
Choose one option
A copy of your responses will be emailed to the address you provided.
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