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Contact information
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Name
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Email
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Phone number
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Preferred Method of Contact:
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Where are you located/ seeking sessions?
In person or video sessions?
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What are your main goals/intentions for a session?
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What areas of your life would you like to improve/expand?
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What offerings interest you? Click all that apply:
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Self and Life Mastery
Sexual Mastery
Trauma Healing
Boundary and Consent Training
Conscious Kink/ Surrender Play
Couples Intimacy and Passion Resurrection
Empowerment
Self Defense
Health and Fitness Coaching
4 Hand Masculine + Feminine Massage/Healing Session
Pleasure Awakening
Spiritual Awakening Guidance
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What are some current challenges you are facing/have face in past?
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Negative body image/ Self worth
Sexual Trauma and or Abuse
Numbness
Anorgasmia (inability to reach orgasm)
Lack of Intimacy and Touch
ED/PE
Loss of Intimacy in relationship
Difficulty cultivating and/or keeping relationships
Poor Communication Skills/Inability to speak up
Social cues and social setting awareness
Poor boundary setting/trouble being respected
Hyper sexuality
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