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Back to Sex Coaching Questionnaire
Welcome to Back to Sex Coaching with Eva Weaver- please fill out this confidential questionnaire before our discovery call and submit below, thank you very much. I look forward to talking with you soo.
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Email
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Your email
Name
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Your answer
Age
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town
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what is pronoun? (She, he , they, ze, other)
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Your answer
How did you hear about Back to Sex Coaching and Bodywork?
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Your answer
Why are you considering Back to Sex coaching and/or Bodywork at this moment?
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Your answer
Challenges from my sexual history and/ or current ones I want you to know are...
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Your answer
What support would you like from Back to sex coaching and bodywork with me at this point? Are there any particularly challenges you experiencing?
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Your answer
Wonderful things from my sexual history or current experiences I want you to know are...
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Your answer
Are you currently experiencing any mental health challenges such as anxiety, depression, PTDS (Post traumatic stress) etc.? If so, how are you managing these? What support do you have in place?
Your answer
What would be the very best outcome you could imagine from engaging in Back to Sex Coaching and bodywork?
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Your answer
What do you need from me as your coach is...
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Your answer
Thank you very much. I look forward to our discovery call soon. With warm wishes Eva
A copy of your responses will be emailed to the address you provided.
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