Intake Sexual Healing ~ Shedding the Layers 8-29 Oct '22
Intake form to help support your journey
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Name & Surname
Social Media links (IG, FB, website,...) *
E-mail address: *
What is your intention for joining this journey? What do you long to get out of this? *
What are your experiences with trauma healing, inner work, tantra and altered states of consciousness? *
Please let me know if you suffer from any physical, medical, trauma or mental health condition you feel I should know about, including any medication you are currently taking: *
What feels most challenging regarding your relationship with your sexuality, your sensual essence, your body's wisdom, intuition, your soul purpose/spiritual intelligence? *
Will you pay in full or in installments? (note that an extra fee of 2% and 3% applies to two and three installments respectively)
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All personal sharings and views of participants remains confidential. Only the facilitator (Xena) will be recorded during the practices and will share the replays later. Therefore all participants are asked to refrain from screenrecording.
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