Booking Form
for a Communication & Consultation with Anne Scharlow
Your Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Your Address
Information About Your Animal
Animal's name
*
Age & Breed
*
Since when have you been together with your animal?
*
Please select one of the below booking options:
You only need to provide information in one of the following sections
Booking for Pets
Gender
Female
Male
Animal's home setup (e.g. house with garden access)
What type of activities do you explore together & how regular?
Please list your animal's main meals & supplements, medications
Has your animal recently experienced any trauma, injuries or unusual situations (possibly including strong medication?)
Booking for Horses
Gender
Mare
Gelding
Stallion
Has your horse raced (if Thoroughbred) and if yes, for how long?
Where does your horse live? Please share the yard name and the livery setup during day and night (e.g. 24 hour outdoor herd living)
Are you happy with / at the yard?
What feed, roughage, herbs, supplements and / or medications are you currently feeding your horse?
What activities are you sharing with your horse?
Jumping
Dressage
Western
Competitive Riding
Hacking
Groundwork / Natural Horsemanship
Meditating & Being together
Fun & Playtime
Bodywork
Other
Has your horse recently experienced any trauma, injuries or unusual situations (possibly including strong medication?)
Booking for Animals in Spirit (all animals)
When did your animal pass?
At what age did your animal pass?
How did your animal die?
Natural Death
Euthanasia
Accident / sudden death
Please share a little bit about the experience
Booking for End of Life (old age & dying for all animals)
What is your animal's present situation? Please share anything relevant with regards to health, vitality levels, any diagnosis, veterinary or alternative care, etc.)
What is your biggest concern, worry, fear or challenge in this situation?
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Your Questions
What would you like to get clarity on? This is the space for your questions & messages regarding your animal. Please also share any background information that may be valauble to your question.
*
Please upload a (recent) picture of your animal, with eyes nicely visible
Browse Files
Drag and drop files here
Choose a file
If you don't have a suitable picture at hand, please email one later on to anne@annescharlow.com
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Who else is part of your human and animal family (please include age)?
What is currently going on in your family? (e.g. workload, stress levels, change, kids, career, etc.)
Our Appointment
Please indicate what days & times work best for you? (e.g. mornings on Mon, Tue)
*
I will check my calendar and provide you a few options based on your preferences.
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