Counselling by telephone - Booking Form

Name*

Email*

Mobile phone number to be texted/called on*

The appointment will be arranged by text message

Expectant or new mum or dad?*

I'm currently pregnant for the first time
I'm currently pregnant but have other children
I'm a mum with young children
I'm a dad with young children

It helps us to know if you're currently pregnant, or already a mum or dad with children

Parental Group Member?

Do you belong to/attend a Parental group? - e.g. Parent & Toddler Group. If so discounts for ongoing sessions may be available. Please give the name of your group.

What is your preferred time of day for counselling?*

Day time
Evening
Either

Counsellor preference?*

All our Counsellors are fully qualified. Do you have a preference for a male of female Counsellor? We will do our best to meet your preference but can't guarantee this.

No Preference
Female Counsellor
Male Counsellor

Telephone - introductory session

Price:

the normal price for telephone sessions is £50 per hour. As an introductory offer there is a 40% discount to £30.

Discount coupon code

Do you have a discount coupon code - sometimes available if you are a member of a Parental Group

Yes
No

Coupon

Further discounts are available on Counselling through Parental Groups, from time to time, using a coupon code. These sessions are of limited number and duration (on a first come-first served basis). If you belong to a Parental group, such as a Parent/toddler group, then contact your Administrator/Manager. If you have a valid coupon code try entering it above. If you get an 'invalid entry' message then this may mean that the number of free sessions has already been reached - please contact your group Manager or consider the offers that we might have on other forms of counselling.

Total

£ 0.00

Booking an introductory telephone counselling session

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