Passionate Possibilities Call Application
Please fill out this application. It will officially start your process towards working together.

I invite you to take your time but also go with your gut in answering these questions. They don't have to be perfect, just honest.

Once submitted, I will personally review all your answers and a member of my team will be in touch to confirm your Passionate Possibilities Session with me. This is a private call and is focused on you. We will explore what you want, brainstorm on how to get it, and take a look at what’s holding you back.

Please note: Passionate Possibility Sessions are for you if you are truly ready to learn how to express your needs and desires and actually get them fulfilled, gain skills to have communication for connection and sexual satisfaction, and walk away knowing how to start experiencing a whole new revival of intimacy, passion, and sex in your life. This positively transformative experience will leave you inspired, turned-on, and open to new possibilities for your sex life.

If you intend on doing this program with your partner, they will need to be present on this phone call. Please put their name and email address in the designated spaces below and I will send them a separate intake form that they will need to fill out before our call.

Please do NOT fill out this form and schedule an appointment if…
-Don’t want to make the investment
-The love is gone but you haven’t left
-There is physical or emotional abuse
-Aren’t committed to personal growth
-You already know that you want to break up

I look forward to speaking with you. Have an amazing day!

With Pleasure,
Sarah

PS: All answers are confidential.
Sign in to Google to save your progress. Learn more
Email *
Legal Name
Preferred Name *
Gender
Pronouns (He, Her, Them, etc)
If you're planning on doing this work with a partner, what is their full name and email address?
Your age (must be 18 or over to apply) *
Occupation *
Your best phone number (include country code for international numbers) *
Your location (City, State, Country) *
Copy and paste a URL that's unique to you so that I can verify your identity (Facebook, LinkedIn, Instagram, or WhitePages.com)
How did you hear about me? (Please be as specific as possible) *
Have you taken the Erotic Blueprints™ quiz? Please share your results. If you have not taken the quiz, please take the quiz before continuing https://www.pleasurefilledlife.com/quiz *
Are you in a relationship right now? *
If you are in a relationship, tell me about the lowest point in your relationship. (This might be a time you broke up, a trust violation, an affair, a big fight...) *
If you're in a relationship, please describe what it is like. Where is it headed? If you had it all your way, what will it look like in 12 months? *
If you're not currently in a relationship, describe what you want? *
Have you ever worked with a coach/therapist within the sexuality/love/relationship field or have you ever done a sexuality program or any kind of coaching program? If so, with who and what were your results? *
When it comes to your sex & intimacy life, what's the single biggest challenge, frustration, or problem you've been struggling with? (Please be as detailed and specific as possible.) *
What do you want in your sex & intimate life? (If you had it all your way, what would your sex life look like/feel like?) *
Why do you want that? And what would having that give you? *
What do you feel like your major stumbling block is for getting what you want? *
What strategies are you currently using to work through any problems/issues/challenges and how are they working for you? *
How are you holding yourself back from what you really want? *
What do you most want to learn or achieve in our work together? *
Coaching is a significant investment. How much are you willing to invest in yourself? *
Required
Are you the financial decision maker in your family? *
Is English your native language? *
How READY are you to make a change in your life? *
NOT READY AT ALL
SUPER READY
How COMMITTED are you to making this change? *
NOT COMMITTED AT ALL
SUPER COMMITTED
Anything else you want me to know to be considered for this program? *
A copy of your responses will be emailed to the address you provided.
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