Sexual Awakening For Women Programme

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Hello and thank you for your interest in my Sexual Awakening For Women Programme.

I'd love to learn more about you and your desires, and the questions on this form are designed to help me do that. So I can serve you to the best of my ability, please include below any significant physical or mental health issues, including if you are under the care of a medical practitioners, psychiatrists or similar.

After I receive your form, we can go in one of two directions:-

1) Arrange a free 60 minute video call with me
or
2) Book a paid in-person session with me & if you decide to book the programme, I'll deduct the price of the session from the programme cost :-)

Thanks in advance for answering these questions - I'm super excited to receive your answers and start working with you!

Much love,
Natalie

Email *

First Name *

Last Name *

Contact Number *

How did you first learn about Natalie's work? (If via recommendation, please give the person's name) *

Why are you drawn to working specifically with Natalie? *

Hopes & Dreams

What bothers you most about your current sexual experiences? *

Imagine the absolute best possible outcome, what would be different after this programme? *

Imagine this being a reality - how would you feel? *

Have you worked with a coach or therapist on similar issues? If so, what was the outcome? *

Your Readiness For This Programme

Do you have the finances available for this programme? *

Yes, I have the money

Not yet, but I am 100% committed to getting the money

Are you able to get to Clapham (SW8 3JX) twice a month for the 6 months of this programme? *

Yes - I can come most days of the week

Yes - I can come Monday to Friday only

Yes - I can come at weekends only

Are you willing to make time for yourself to practice what we learn in the session and rest and integrate your experiences after sessions? *

Are you willing to face the difficult parts of what might be holding you back and feel and express your emotions relating to those things? (I will support you) *

Your Background

Tell me about your best sexual experiences: What made them special? *

Do you have a sexual partner at present? How honestly can you talk to them about your sexual challenges? *

Please share if you have experienced any trauma, abuse, recent addictions, major losses or other emotional stress that may contribute to your ability to relax and feel aroused. *

Any medical conditions or medication? Please include mental health, psychotic episodes, anything relating to lungs (including asthma), heart, major organs or that restricts your mobility. *

Any serious allergies? Please note: I use a coconut oil and almond oil mix for massage. *

Please list major personal development work you have done in your life? (counselling, body-based therapies, sexual retreats, tantra classes, breath work, other…) *

Next Steps

What next step do you want to take...? *

Book a free 60 minute video call

Book a paid in-person session with you

As someone who has expressed interest in working with me, you will receive my (infrequent) newsletter, Empowered Healing, from which you can unsubscribe at any time.

Send me a copy of my responses.

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