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

Your responses are strictly confidential.
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Full name *
Phone number (UK)
Email address
Your age *
Area of residence *
Have you had any counselling / therapy before? *
Which forms of support interest you? *
Required
What has led you to seek support at this time and what are your goals (if known)? *
Would you prefer: *
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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