This information will help me plan the workshop. Occasionally I may want to discuss the feedback with you before you arrive. If you prefer to speak to me directly please telephone the number below.

Please fill in the form and press the submit button. The information is not kept on this website or online anywhere. The form will come through only to my email address.

For security I will print the form out and then delete it from my email account. I keep the printed forms in a locked cabinet.

You can email me here: www.valeriejenner.co.uk/contact

Please call me if you have any queries on 07961 302719

If you have any of the above conditions or have been diagnosed in the past please tick.