Questions for you
* Det går bra att svara på svenska också!

This is a form for multiple events! Namely, secrets of love making and the Dance Into Your Lust Program and retreat.
Sign in to Google to save your progress. Learn more
Email *
Name *
City *
What are you hoping to get out of this program? *
Tell me a little more about yourself like your background, gender and sexuality. *
Any medical or psychological conditions or diagnoses in your life I should know about? *
Anything else you would like me to know about you?
Do you go on any regular medication? *
Can you share any specific challenges you face in your daily life at the moment? *
Do you agree to the following?                                               "I understand that this is a therapeutic process where many emotions new and old might arise to the surface. The group is my support but it is my own responsibility to self-regulate and be with the processes between each session. If something does not feel good in I will bring this up" *
Required
What are you signing up for? *
Discount code?
Have you paid? *
If you are signing up for the program, then please go to litadaa.com/booking and schedule a 30 min free call so that we can meet each other and explore if this is right for you. After you have booked, come back to this form. *
Required
How do you feel right now? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy