Congratulations!

Your application has been successfully paid. Please, check your email for your receipt.

IMPORTANT: Please, choose between the options according to the product you acquired:

FOR RTT

(if you acquired an RTT session or a package with RTT)
FOR COACHING
(if you acquired one or more coaching sessions)
and fill out the form below.
After this, you will be contacted to make an appointment.

ПОЗДРАВЛЯЕМ!
Ваша заявка успешно оплачена. Проверьте ваш имейл для подтверждения.
ВАЖНО: Пожалуйста, выберите поле КОНСУЛЬТАЦИЯ ДЛЯ ТРАНСГЕНДЕРНЫХ ЛЮДЕЙ и заполните анкету ниже. После этого мы назначим дату и время для консультации.

Intake Form for Coaching Sessions

Part 1: Your contact information

*required fields

Name*

Email*

WhatsApp or Telegram number*

Choose the number of coaching sessions you acquired*

Part 2: Your personal information

*required fields

Age*

Preferred pronouns?

Part 3: Your expectations

*required fields

What are your expectations from coaching?*

Any other information you feel may be important for the session

Have you ever had coaching before?

yes

no

How did you find me?*

I am of legal age, have read and agree to the Waver Document (including the mandatory cancellation within 48 hours and no refund policy section) and Privacy Policy.

Анкета для консультации для трансгендерных людей и их близких

Contact me

You can contact me through the form below.

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