Contact form
*Please, fill in these fields with a consciousness.
All information collected with this questionnaire is secured.
Your full name and how to address you? *
Your answer
Your age (years) *
Your answer
City / country of living *
Россия - страна большая, а мир еще больше...
Your answer
Email / Phone number *
Your answer
Links to your social profiles
If it is comfortable for you to communicate via PM in Facebook, Instagram
Your answer
NOW PLEASE TELL ME, WHAT IS YOUR REQUEST / SITUATION
What personal goals / issues you would like to solve? *
For the 1st acquintance 2-3 sentences will be enough
Your answer
How often would you like to meet online? *
What platform is easier for you to communicate? *
Video streaming is obligatory!
Required
When are you ready to start with the 1st meeting? *
Certain dates, week days, time you prefer...
Your answer
NOTES
Any comments and wishes which are important to consider for me...
Your answer
Would you like to receive email newsletter *
I give you permission to proceed the data above *
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