{"id":106,"date":"2025-02-24T18:19:49","date_gmt":"2025-02-24T18:19:49","guid":{"rendered":"https:\/\/w3.headsync.co.uk\/?page_id=106"},"modified":"2025-04-09T09:16:40","modified_gmt":"2025-04-09T09:16:40","slug":"book-a-session","status":"publish","type":"page","link":"https:\/\/w3.headsync.co.uk\/?page_id=106","title":{"rendered":"Book A Session"},"content":{"rendered":"\n<div class=\"wp-block-uagb-container uagb-block-4e5c8c56 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-2ecfc6dc\"><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-350\"><form id=\"wpforms-form-350\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"350\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F106\" data-token=\"564e8c729806f1759d228673504ffcba\" data-token-time=\"1776704012\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-350-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-350-field_1\">Full Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-350-field_1\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][1]\" aria-errormessage=\"wpforms-350-field_1-error\" aria-describedby=\"wpforms-350-field_1-description\" required><div id=\"wpforms-350-field_1-description\" class=\"wpforms-field-description\">Please enter your full name as it appears on your identification<\/div><\/div><div id=\"wpforms-350-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-350-field_2\">Email Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-350-field_2\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-350-field_2-error\" aria-describedby=\"wpforms-350-field_2-description\" required><div id=\"wpforms-350-field_2-description\" class=\"wpforms-field-description\">A valid email address for confirmation of your preferences<\/div><\/div><div id=\"wpforms-350-field_4-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-350-field_4\">Phone Number<\/label><input type=\"number\" id=\"wpforms-350-field_4\" class=\"wpforms-field-large\" name=\"wpforms[fields][4]\" step=\"any\" aria-errormessage=\"wpforms-350-field_4-error\" aria-describedby=\"wpforms-350-field_4-description\" ><div id=\"wpforms-350-field_4-description\" class=\"wpforms-field-description\">Your contact number for any follow-up questions<\/div><\/div><div id=\"wpforms-350-field_5-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-350-field_5\">Preferred Therapy Type <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-350-field_5\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][5]\" required=\"required\"><option value=\"Counselling\" >Counselling<\/option><option value=\"Holistic Creative Art Therapy\" >Holistic Creative Art Therapy<\/option><option value=\"Group Therapy\" >Group Therapy<\/option><option value=\"Other(please specify in the field below)\" >Other(please specify in the field below)<\/option><\/select><div id=\"wpforms-350-field_5-description\" class=\"wpforms-field-description\">Please select your preferred type of therapy<\/div><\/div><div id=\"wpforms-350-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-350-field_6\">Other<\/label><input type=\"text\" id=\"wpforms-350-field_6\" class=\"wpforms-field-large\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-350-field_6-error\" ><\/div><div id=\"wpforms-350-field_7-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"7\"><fieldset><legend class=\"wpforms-field-label\">Multiple Choice <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-350-field_7\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-350-field_7_1\" name=\"wpforms[fields][7]\" value=\"On-line\" aria-errormessage=\"wpforms-350-field_7_1-error\" required  checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-350-field_7_1\">On-line<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-350-field_7_2\" name=\"wpforms[fields][7]\" value=\"In Person\" aria-errormessage=\"wpforms-350-field_7_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-350-field_7_2\">In Person<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-350-field_7_3\" name=\"wpforms[fields][7]\" value=\"Mix of Both\" aria-errormessage=\"wpforms-350-field_7_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-350-field_7_3\">Mix of Both<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-350-field_7_4\" name=\"wpforms[fields][7]\" value=\"Walking &amp; Talking\" aria-errormessage=\"wpforms-350-field_7_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-350-field_7_4\">Walking &amp; Talking<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-350-field_8-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-350-field_8\">Briefly describe your reason for seeking therapy:<\/label><textarea id=\"wpforms-350-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" aria-errormessage=\"wpforms-350-field_8-error\" ><\/textarea><\/div><div id=\"wpforms-350-field_9-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-350-field_9\">Have you previously received any form of therapy?<\/label><select id=\"wpforms-350-field_9\" class=\"wpforms-field-large\" name=\"wpforms[fields][9]\"><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option><\/select><\/div><div id=\"wpforms-350-field_10-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-350-field_10\">If yes, please specify the type and duration:<\/label><textarea id=\"wpforms-350-field_10\" class=\"wpforms-field-medium\" name=\"wpforms[fields][10]\" aria-errormessage=\"wpforms-350-field_10-error\" ><\/textarea><\/div><div id=\"wpforms-350-field_12-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-350-field_12\">Any specific goals or outcomes you hope to achieve?<\/label><textarea id=\"wpforms-350-field_12\" class=\"wpforms-field-medium\" name=\"wpforms[fields][12]\" aria-errormessage=\"wpforms-350-field_12-error\" ><\/textarea><\/div><div id=\"wpforms-350-field_14-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-2-columns\" data-field-id=\"14\"><fieldset><legend class=\"wpforms-field-label\">Preferred Session Days <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-350-field_14\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-350-field_14_1\" name=\"wpforms[fields][14][]\" value=\"Weekdays\" aria-errormessage=\"wpforms-350-field_14_1-error\" aria-describedby=\"wpforms-350-field_14-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-350-field_14_1\">Weekdays<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-350-field_14_2\" name=\"wpforms[fields][14][]\" value=\"Weekends\" aria-errormessage=\"wpforms-350-field_14_2-error\" aria-describedby=\"wpforms-350-field_14-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-350-field_14_2\">Weekends<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-350-field_14_3\" name=\"wpforms[fields][14][]\" value=\"Mornings\" aria-errormessage=\"wpforms-350-field_14_3-error\" aria-describedby=\"wpforms-350-field_14-description\" 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id=\"wpforms-350-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-350-field_15\">Additional Information or Comments:<\/label><input type=\"text\" id=\"wpforms-350-field_15\" class=\"wpforms-field-large\" name=\"wpforms[fields][15]\" aria-errormessage=\"wpforms-350-field_15-error\" ><\/div><div id=\"wpforms-350-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-350-field_16\">How did you hear about us?<\/label><input type=\"text\" id=\"wpforms-350-field_16\" class=\"wpforms-field-large\" name=\"wpforms[fields][16]\" aria-errormessage=\"wpforms-350-field_16-error\" aria-describedby=\"wpforms-350-field_16-description\" ><div id=\"wpforms-350-field_16-description\" class=\"wpforms-field-description\">Please let us know where you found us.\n<\/div><\/div><\/div><!-- .wpforms-field-container --><div 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