Online Consultation
On this form you can describe any problems you may be having in your property or work place.
Please enter your details:
Name
Email
UK County
Country
Phone
Mobile
What best describes your situation? (check the boxes)
Experiences Health / Well Being
Places where conflict occurs Disturbed sleeping patterns
Places where pets/people avoid Extreme Fatigue/Headaches
Haunting/Strange occurrences:
(Lights on/off, noises, sightings, things disappearing, shivers/hair standing up)
High levels of stress
or unfamiliar mood swings
Restless Pets for no reason Illness (yourself or others)
Dampness/mould/infestations Depression / Mental problems
Extreme bad luck/ Accidents Children agitated at certain times
Visitors/friends leave quickly Children afraid to sleep or be alone
Other problems not listed?
How long have these problems existed?
Your Property Type:
Other:
Please check the boxes which would best apply to your Property/ Workplace/ Landscape?
Old house pre 1920's
Nearby Church/ Sacred Site etc
Pylon Powerline within 800yards
Recent Mobile mast within 800yards
Wifi Broadband/ Cordless Phone
Known Wells/ Springs close to house
Nearby Quarry/ Major Road/ Railway
Any Recent Traumatic event
(In Area or Family)? Brief Description:
Please include any other information that describes your situation:
Please select the service you would like from Geo-Repairman:
  Site/ Property Visit Remote Geomancy
  Email Advice Only Phone Consultation
If you wish to include plans or photos with your form please send them separately to:
All information is treated with the up most confidentiality, as is used for diagnostic purposes only.
Please allow up to 3-5 days for a response.
Note: There is no guarantee of a response if FULL contact details are omitted or inaccurate.
Please include me on the Geo-Repairman mailing list.
    
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