Initial Consultation Form

Thank you for your interest my services. To ensure that the consultation is as effective as possible, please fill out the questionnaire below, providing as much information as you feel is relevant. Please be entirely honest when filling out this form, no matter how weird you may think it sounds. All information supplied will be treated with total confidentiality.

In addition to the completed questionnaire you will also need to separately send me a rough floor plan of your property and any surrounding land that is yours (gardens etc.) Make a separate drawing for each floor if there is more than one. If you have a large area of land you may like to make a separate site drawing. The floor plan does not have to be terrifically accurate, and a hand-drawn sketch on A4 paper is preferred to an architect’s drawing (which has too much detail). Please show where all the doors and windows are, label the rooms (e.g. Lounge, Bed 1, Bed 2 etc.) and, if you can, indicate the direction of North on your drawings. Click here to email the plans to me directly, or ask for postal details if you prefer.

[contact-form][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email’ type=’email’ required=’1’/][contact-field label=’Address 1′ type=’text’/][contact-field label=’Address 2′ type=’text’/][contact-field label=’Address 3′ type=’text’/][contact-field label=’Town/City’ type=’text’/][contact-field label=’Postcode’ type=’text’/][contact-field label=’Phone number’ type=’text’/][contact-field label=’Is there a particular reason you wish to have a consultation at this time?’ type=’textarea’/][contact-field label=’Names and ages of residents’ type=’textarea’/][contact-field label=’How long have you lived in the property?’ type=’text’/][contact-field label=’Is it a home or business?’ type=’select’ options=’Home,Business,Both home and business’/][contact-field label=’What type of building is it?’ type=’checkbox-multiple’ options=’Detached,Semi-detached,Terraced,Apartment,Other’/][contact-field label=’Approx. date built?’ type=’text’/][contact-field label=’Number of bedrooms’ type=’select’ options=’1,2,3,4,more than 4’/][contact-field label=’Number of reception rooms’ type=’select’ options=’1,2,3,4,more than 4’/][contact-field label=’If property includes land, give an estimate of how many acres’ type=’text’/][contact-field label=’Please give any information you have about your home%26#039;s history and previous inhabitants’ type=’textarea’/][contact-field label=’Please describe any building work that you have undertaken or have planned’ type=’textarea’/][contact-field label=’Does any part of the space feel consistently cold, heavy, or slow? Please describe’ type=’textarea’/][contact-field label=’Does anyone have difficulty concentrating, or with initiating and completing projects or tasks in the space? Please describe’ type=’textarea’/][contact-field label=’Does any part of the space feel excessively busy or chaotic?’ type=’textarea’/][contact-field label=’Is there anything unusual or remarkable about the growth and vitality of plants in and around the space?’ type=’textarea’/][contact-field label=’Is there anything unusual or remarkable about the health or behaviour of animals in and around the space?’ type=’textarea’/][contact-field label=’Does the place feel like your own?’ type=’radio’ options=’Yes,No,Don%26#039;t know’/][contact-field label=’Are you aware of ghosts or other presences in the space?’ type=’textarea’/][contact-field label=’Is anyone experiencing sleep difficulties or avoiding particular rooms? Please describe’ type=’textarea’/][contact-field label=’Does it feel safe to be in the space alone?’ type=’radio’ options=’Yes,No,Don%26#039;t know’/][contact-field label=’Is there anything else that you feel is relevant that hasn%26#039;t been covered, e.g. unusual experiences etc.?’ type=’textarea’/][contact-field label=’Finally, how did you hear about me?’ type=’text’/][/contact-form]

Thank you for taking the time to fill out this form. If you have any further questions, please email me.