Schedule an Appointment

A list of the services that Anya offers can be found on the Consultation page. If you would like to schedule an appointment with Anya, please complete this form and allow 24 hours for a response. Anya is able to accept payment in cash or Paypal.

* Denotes Required Field

• Name:
• Phone Number: Proper format "555-555-5555"
• Email: Proper format "name@something.com"
• Location: Proper format "City"
• Date of Birth: Proper format "00/00/0000"

• Consultation Details

  Reason for Consult:
• Preferred Method of Consultation: In-Person Email Skype Phone
• Additional Notes:
• To prove you are human, what is 5 + 13? Proper format "00"
• To check you are human, what do you see with? Proper format "word"
• Submit Form