Perspectrum Form

Be aware of the colour of your delight, isolate the tone you associate with hope.

Find shades which equate themselves with your fears.

Create a tonal palette truly reflective of your present emotional life.

Colour the months of a typical year.

All information provided will remain confidential.

Name....................................................

Address..........................................................................................

.......................................................................................................

Postcode/Zip.........................................

Email.....................................................

Scan/photocopy the completed form and e-mail/post it to us.

Month