Analysis inquiry

Input fields marked with * are obligatory.
You can answer the other questions if you consider them important for your actual impression about yourself.
Individual approach and privacy are a vital part of the therapy. Your personal information is safeguarded just as I do for my previous clients.
Your e-mail address will not be abused or distributed to others.


Analysis rapport is free of charge.
 

 

 





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Other problem or difficulty you want to resolve:
What you have already tried to get solution?
What do you think I should know about you as to help successfully?
What do you think you need to know about yourself?