Healing Through Seduction Coaching Application
Sign in to Google to save your progress. Learn more
Email *
Name
Preferred Pronoun
Website
Social Media Handles
How did you find out about my Healing Through Seduction Program?
What is your prior experience with burlesque, sensual coaching, healing, therapy and/or other spiritual modalities?
What would you like to focus on in our sessions? Select all that apply.
Have you worked with a coach and/or therapist before?
Clear selection
Are you currently seeing a therapist, life coach, spiritual advisor, or priestess?
Clear selection
My monthly programs start at $3500. Are you comfortable moving forward with booking a Discovery Call? *Payment plans are available
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy