SurveyMonkey Powered Online Survey

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* 1. Is this booking for an Individual or a Group?

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* 2. How many people are in the group?

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* 3. What is your role in the group?

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* 4. Your details...

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First Name

Surname

Phone Number

Email Address

Occupation

Organization / Group Name, if applicable

Website

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* 5. Please select your age group

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* 6. Any preferred dates to be considered?

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* 7. Select your preferred time slot.

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* 8. How did you hear about this service?

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* 9. Any questions?

TERMS & CONDITIONS:
- For Individual booking - £80 booking fee applies as part of the booking process. Payment details will be emailed to you.
- For Group booking - £150 booking fee applies as part of the booking process. Payment details will be emailed to you.
- Only refundable with a minimum of 48hrs cancellation notice.
- Full payment will be charged for missed appointments or cancellations with less than 24hrs notice.
- We reserve the right to refuse service to incompatible clients.