Dr Bach Di Stodart Consultation and Order Form
Consultation
Home
Stress
Insomnia
Menopause
Anxiety, Panic, Depression
Healing System
Courses
Links
Welcome to my Bach Flower Remedy consultative process.
   

You - Simply do the following

 
1. Write your personal story
  - What has happened
  - How it is affecting you
  - Emotions surrounding the situation
  - Personality description - temperment, attitudes
  - Tell me as much as you can of your life situation and feelings. The more I know, the better I can choose your personal Bach Flower mix.
  - Fill out your personal details and post cheque on receiving invoice
   
 
 
 
 
 

I - do the following

 
1. Receive in confidence, your personal story
2. Bach Flower Remedy mix posted, to be received by you within 48 hours (in New Zealand)
   
Please note:
 

Cost of consultation is $65 which includes:
- consultation
- postage (extra postage for overseas)
- personal Remedy mix



Personal Details:

NB: Please fill in required fields, i.e. fields marked with (*)

*Name:
Street Address:
Suburb:
Town/City:
Phone:
Age:
*E-mail:
 

Your Personal Story/Situation:

   
Tick here if you would like a follow-up consultation in 3 weeks time

Tick here if you would like to pay by cheque
Tick here if you would like to pay by internet banking.
   
     
 
Email Di for more information or to book a consultation.