Arrange a Consultation - Debbie Featherstone | www.debbiefeatherstone.com

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Cognitive Behaviour Therapy

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Tinnitus
Substack
Misophonia
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CONSULTATIONS ARE CARRIED OUT USING ZOOM using your computer, tablet or smartphone

Please complete this Consultation booking form if you are looking for help and would like to be contacted by email

I am looking for help for..... (Please tick all appropriate boxes)

Long term anxiety
Short term anxiety (less than 6 months)
Long term depression
Short term depression (less than 6 months)
Additional information about you:

Date*

Name*

Your email*

Your mobile number (for text confirmations etc)*

Age*

Country*

Other country

Preferred day for Consultation:*

Preferred time of day:*

How did you find out about Debbie Featherstone?*

What services have you accessed so far? Please tick appropriate boxes

None
GP
Counselling (NHS-UK)
Counselling (Private)
Psychotherapy (NHS-UK)
Psychotherapy (Private)
Clinical Psychologist (NHS-UK)
Clinical Psychologist (Private)
Other services. Please state:

In your own words, tell us about your experiences of any help you have received

Thank you for completing your Consultation Booking form.

When you press SEND you will receive a copy of your responses by email and I will get back to you as quickly as possible by email - please check your Spam folder if an email does not arrive in your Inbox

Debbie Featherstone MSc Hearing Therapy | Psychotherapy & CBT Specialist

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