Tea For Two ~ Application
I'd love to have the opportunity to help you look at what we can do together to get you on the road to happy and healthy. One of my joys in life is the simple pleasure of sitting and sipping a nice cup of tea. Another is helping people feel good. I’ll make myself a cup of tea and spend 15 minutes with you as we explore what you need, right here and now, to make your special blend of Happy. What’s your blend?

My Tea Time is limited and I work only with those who are ready to make changes. I have proven time and again, gentle change leads to permanent results. You don't have to get it perfect, but you do have to be ready to take that first step.
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What's Your Name? (first and last, please and thanks) *
Phone number? *
Email address? *
I need this so we can make an appointment
Skype contact (required if you are not in the US or Canada)
(required if you are not in the US or Canada)
Do you consider yourself or have you been diagnosed as clinically depressed? *
If yes, please answer the question below. If no, skip the next question and move on.
Please give details of any other mental health issues you currently suffer from?
If your answer was 'no' to the above question, you may skip this question. ALL information supplied is CONFIDENTIAL
What do you feel is the biggest block to joy in your day-to-day life? *
ie: job, partner, children, general sadness, no longer feel joy, just blue, can't sleep ~ tell me about it ~ I'm listening
What would you like to achieve in your free 15 minute consultation with me? *
What's holding you back from starting to take charge of your Happiness and start working with me? *
Is there anything else you'd like to tell me?
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