Women's Mentoring Program Preview (January 16th 11am CST) Event Participation Application
Hello and welcome! This is your private invitation to a NO COST confidential program preview of my women’s sexuality mentoring program. This is a custom curated event that I’m reserving only for a small handful of women who are serious about making changes in their intimate relationship in 2021.

Some of the content of this event will be tailored to the participants so be sure to tell me what specific challenges you'd love help with!  

This FREE event happens on Saturday January 16th at 11am CST and is by invitation and application only.  

Please note: Spouses/partners are invited to join you for this event!  For those who feel called and for whom it feels like a fit, there will be an opportunity to take the next steps towards enrolling in the program, BUT there is NO obligation or expectation do to so.  Just come, learn and have fun!

And if you feel to stay incognito during the call that's fine too!--just be sure to turn your camera off.
 

If you have any questions about this application or this event feel free to contact me at susan@susanmorgantaylor.com


Sign in to Google to save your progress. Learn more
Hi there! So nice to meet you.  I'm Susan Morgan Taylor, MA. specialist in women's sexuality and your host and guide for this event.  Please respond in detail to the questions below.  All of your responses are confidential and I'm the only one who will see them. After I receive and review your application I will email you the event access details (Zoom links etc.) Thanks so much and  I look forward to meeting you at the event :)
What is your full name? (first and last please) *
Your best email address *
Please describe your biggest challenge in sex and intimacy *
What have you tried so far in order to solve this challenge? *
What are TWO things you would love to learn about during this event that you think would help you resolve this challenge: *
What other questions about sex and intimacy would you LOVE To have answered by a pro during this event? (List up to 3)
How committed are you to making lasting positive changes in your initiated relationship in 2021 *
I am able to attend the live event on Saturday January 16th at 11am (there will not be a replay) *
I agree to commit to attending the entire event (event will last approximately 60 minutes) *
What is your favorite body of water? *
List 3 Qualities that describe your favorite body of water: *
Is there anything else you would like me to know?
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