USHA ROSE COACHING

Thank you for your interest in working with me to further explore and improve your life and overall well-being through the lens of sex, love, intimacy and relationships.

It is my intention to serve you to know yourself better, deepen your understanding of your sexuality, create healthier relationships and become more aligned with your best, most vibrant self.

Some of the many benefits of my coaching work include:
-Improve intimacy, communication and connection skills
-Improve relationship with your partner(s)
-Improve self-awareness and self-expression
-Understand and maintain personal boundaries
-Address any shame, anxiety or negativity relating to your body and/or sexuality
-Process and heal from any negative experiences, limiting beliefs, trauma or abuse
-Cultivate greater embodied confidence and expressiveness as a sexual, sensual being
-Gain a deeper understanding of your eroticism, desire and arousal
-Enhance your ability to experience, give and/or receive pleasure
-Address any sexual concerns or dysfunctions, such as low libido, erectile dysfunction, pain during intercourse, negative body image, dealing with STIs, etc
-Become a better lover and gain more confidence
-Learn to express desires and offer effective feedback during sexual intimacy


This intake form helps us both prepare for our work together.  It can help to give us both clarity about what you are seeking support with and what your goals are.  In order to know you better and to best serve you, please take the time to answer the following questions to the extent that feels good to you.  

All of your responses will be kept strictly confidential.