Book An Appointment


Instructions:

  • Please copy and paste this questionnaire into an email addressed to me: Babette@BabettedeJongh.com.
  • Fill out the questionnaire completely, pasting-in as many Please tell me about your animal sections as needed, one for each animal.
  • Paste photos of your animals into the questionnaire, or attach to the email with each animal identified by name. Make sure the photos are clear, in-focus, candid (not forced) with the animal’s eyes looking at camera. (Please refer to the instructions page for advice on how to take good photos for the purpose of animal communication.)
  • Email the completed questionnaire and photos to me.
  • When I receive your email, I will reply to your email and send a PayPal invoice. Once I receive your payment, we’ll get started. I am usually able to complete a family communication within a week.

 Your contact info:

Your name:

Your phone number(s):

Your email address:

Your consultation info:

What service are you booking? (Please refer to the What does it Cost? page for rates and services)

List any concerns (behavioral, physical, etc.) for your multi-species family that have prompted you to enlist my help. Please be specific.

What are your goals for this session? What would you like to achieve?

Please tell me about your animal. (Copy/Paste as many of this section as you need, one for each animal.)

Your animal’s name:

Your animal’s species: (dog, cat, etc)

Your animal’s sex:

Intact male        Intact female        Neutered (M)         Spayed (F)

Your animal’s approximate age:

How long has this animal been a family member?

Your animal’s history, as much as you know:

Is there any other pertinent information you’d like to tell me about this animal or the situation?

Please list five specific questions for this animal.

What are your goals for this animal, specifically?