Tell us about you
Through filling in this form, we can get the information needed in order to send you a proposal for a tailored therapeutic process for you - a process that you can then customize. This is free of charge and does not commit you in any ways.
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Email *
Name *
Birth date *
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DD
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Are you... *
If you are visiting, how many days do you wish to haves sessions for?
If you live on the island, what do you prefer? *
Tell us what is closest to your situation: *
Please, add here any information about your current situation that you may consider useful:
A copy of your responses will be emailed to the address you provided.
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