Request an intake by completing this form

For planning an appointment or a free intake you can use the form below. Describe clearly what you would like to know so that we can make sure the right person will contact you through phone or email to schedule the appointment. Don’t forget to leave your phone number!

Name (required)

Last name (required)

E-mail (required)

Phone

Interest

Remarks

Contact details Koachz

Visiting address, only after an appointment:
(do not send any snail mail to this address)

Oude Middenweg 3-19
2491 AC Den Haag
+31(0)70 250 0030
info@koachz.com

(along the freeway A4, exit Forepark)