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Enquiry Form

Who is this enquiry for?
Adult with tics (18+)
Young person with tics (under 18)
Other
Clients Date of Birth
Day
Month
Year
How would you describe your/the client’s current tic experience? (Multiple choice – select all that apply)
How much are tics currently impacting daily life?
0–2 = Mild
3–5 = Moderate
6–8 = Significant
9–10 = Severe
Other areas you may want to support (tick any that apply):
How did you hear about Tictock Therapy?
Preferred Appointment Day - select all
Image of Sarah who has brown hair facing the camera smiling, she is wearing a black top, behind her is TicTock therapy HQ

Sarah Sharp, CEO

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'Educate yourself enough to feel Empowered, so you can Advocate for you/ your child.'

Here at Tictock Therapy, we take pride in being a disability-friendly organisation. We are constantly learning and adjusting our services. We work with a range of professionals and want to be inclusive to everybody. If you or your child feels that our website or any of our services doesn’t meet your accessibility needs, please do not hesitate to let one of the team know and we will happily make a Reasonable Adjustment where possible!

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