Questionnaire

Personal Consultations with Claire

If you feel guided to have a personal consultation with Claire please fill in the questionnaire below by typing directly in the boxes on the form.

Time for sessions is week days 10-10:30am Ottawa time. Click here for Time Zones I suggest taking the day off or minimum in activities where you have control on your time for best integration.

You may choose to have a session in person or over the phone.
* Please note that only 2 hour sessions are available in person *

Click on ‘Submit’ once when you have completed the questions.
You will be re-directed to confirmation page, with more details and method of payment.

Blessings,

Contact Form

*denotes required field

First Name:*

Last Name:*

E-Mail Address:*

E-Mail Address again:*

This reduces errors

Complete Mailing Address*

Contact Phone Numbers*

I have read the "Resources" section:*

Yes No Some

Please Choose a Session:*

1 hour over the phone - $150 1 1/2 hour over the phone - $225 1 1/2 hour in person - $225

Explain why you wish to have a session with Claire at this time*

List the outcomes you wish to achieve from this session*

Any Other Concerns?

CAPTCHA Code:*

* After clicking the Submit button you will be redirected to a confirmation page with more details and payment method.