Enquiry Form

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Enquiry Form

£70 per 50-minute session (in person in Leicester UK, or online via Zoom).

Your responses are strictly confidential.

Full name *

Phone number (UK)

Email address

Your age *

Area of residence *

Have you had any counselling / therapy before? *

Yes

Which forms of support interest you? *

Long-term counselling / psychotherapy (talking therapy)

Short-term counselling / psychotherapy (talking therapy)

Nondual Therapy / Nondual Mentoring

Psycho-spiritual counselling

Rejection Sensitive Dysphoria / ADHD

Life coaching

Not sure

Required

What has led you to seek support at this time and what are your goals (if known)? *

Would you prefer: *

Face-to-face sessions

Zoom sessions

Either

Which days and times are you generally available? Please include your time zone *

How did you find out about Nic Higham? (Please include search key words if applicable) *

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