Consultation Form

Thank you for booking my consultation.

Please fill in the form below. Once I receive this, we will communicate to agree on a day and time we can set up your consultation.

I will send you a copy of the manual we will use during the consultation after I receive your registration. Do not be afraid by its length or complexity. I will go through it with you and tailor it to your specific condition.

My Skype id is: pathamouy 
My WhatsApp Number is: +639063103914

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6 or more times a week
3 to 5 times a week
1 to 2 times a week
Never
6 or more times a week
3 to 5 times a week
1 to 2 times a week
Never
6 or more times a week
3 to 5 times a week
1 to 2 times a week
Never
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No
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6 or more times a week
3 to 5 times a week
1 to 2 times a week
Never
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