Contact & Questionnaire

A COMPLETE questionnaire is required for ALL potential clients prior to scheduling.

Incomplete, vague, and/or unrealistic questionnaires will be ignored.

Questions noted with an asterisk (*) MUST be answered in order to submit this form. 

Please answer all questions in as much detail as possible.

I highly suggest the following ...

 

1) Make a protonmail email account prior to submitting this questionnaire to ensure that our communication is encrypted &, thus, completely private.

This service is free & an account can be easily acquired in just a few minutes. Visit www.protonmail.com.

2) Read my site in it's ENTIRETY prior to emailing me or submitting a questionnaire.

If you experience problems submitting my questionnaire, 

you may send an email

containing the necessary information instead.

 

General questions/correspondence should be sent to mirandarider@protonmail.com.