Go Life Coaching and Counselling

Use this form to sign up for a session. Just enter your details in the form on the left. Please fill in all fields.

More information on each field can be viewed by hovering your mouse over the blue information icons like this one .....

When I receive your email I will reply to you and let you know:

Whether I think I can help you
Possible appointment times taking into account any time differences between your location and New Zealand
How to pay for appointments

I look forward to hearing from you and will reply to you as soon as possible.

Best wishes .... Sky Williams

PS - If you prefer you can ring me direct on 03-3128349 to make an appointment.

First Name
Last Name
Gender	Male Female
Date of Birth
Email Address
Phone Number
Mobile Number
Skype user id (if you use Skype)
Address
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Ways to work	Face to face Email Online Chat Telephone Skype Video
Any of these apply to you now?	Anger Anxiety Compulsions Depression Eating disorders Fatigue Grief Obsessions Panic Attacks Relationship Difficulties Self Harm Sleeping Poorly Stress Suicidal thoughts Trauma Any psychiatric disorders
Tell me about yourself and what you would like help with.
Internet comfort zone
If you want to use chat online, how fast can you type?
How would you like me to make contact?

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