Living with Permission - Intake Form
The simple process of answering these questions is itself a way to bring more attention and value to your erotic life. 

You will receive a copy of your answers when you submit the form.  All your information will be kept private and will never be shared.

All answers are optional (except for name, email and phone number).
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Email *
Full Name *
Phone Number *
What is currently not working in your erotic life? What would you specifically like to talk about?
What kinds of erotic play and people are you interested in bringing into your life? Please be as specific as you like. There is no judgement.
If you could imagine a perfect erotic day, what would it be? How would it feel in your body? 
What are your preferred embodied practices, eg. yoga, tai chi, dance, sport, gym, swimming, surfing, bush walking, rock climbing, etc? How important would you say they are in your life?
Do you currently have a partner/partners with whom you engage erotically? If yes, how often do you play with them (Once a week, once a month, every day, etc)? Remember erotic play is not necessarily sex. 
Do you have any medical conditions or history of trauma (especially sexual), that may be helpful for us to know about? 
Who of us at EL would you like to contact you?
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Anything you would like to add?
Thank you very much for taking the time to do this. You'll be hearing from us soon. - Peter and team.
A copy of your responses will be emailed to the address you provided.
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