Free Counselling Request Form

Free Counselling Request Form

 

If you wish for an expertise opinion on your affair or sex related problem, send us an e-mail with specifications and details with contents of following form and send us an e-mail to :

E-mail : kim.psygene@gmail.com

======== Free Counselling Request Form ========

01. Your e- mail :

02. Your City and Country :

03. Sex :

04. Your age :

Your husband's / wife's age :

05. Your physical and appearance specifications :

Your husband's / wife's physical and appearance specifications :

06. Your profession :

Your husband's / wife's profession :

07. Your personal character :

Your husband's / wife's personal character :

08. How long you've been married : yrs mths

09. Current Status of Your Couple :

11. Describe your problem for counselling :

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Happiness Research Inc.
Address : 4F ShinDongHwa B/D, Dosan-road 213, Gangnam-gu, Seoul, Korea

Tel : +82-70-8845-8849(Main), +82-2-548-8533 Fax. +82-2-418-3093

E-mail : dami38@hanmail.net