Appointment Form

Please fill in your details below. Once the appointment is confirmed, it will show in the google calendar below.

Name

Date of Birth (YYYY-MM-DD)

Time of Birth (24 hour format)

Place of Birth (City / State/ Country)

Phone

Date (YYYY-MM-DD)

Preferred Time (Central European Time zone – Amsterdam Time zone)(required)

Morning (9.00-12.00)

Afternoon (12.00 – 15.00)

Evening (16.00 – 20.00)

Late Evening

Select your plan type(required)

Plan 1 (60 minute session)

Plan 2 (30 minute session)

Plan 3 (15 minute session)

Notes