Light Your Fire Application

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It is an honor and a privilege to embark on this journey with you! To help you gain clarity about your desires and for me to see if you're a good fit for this program, please respond to the short questions below and pick a time for us to talk and review your answers in the last question! Looking forward to speaking soon!

Name

Email *

Phone number *

General Questions

What interests you about this program specifically?

What is your main desire that you would like to achieve if you are accepted into Light Your Fire?

The following questions have to do with your current sexuality please answer as honestly as possible.

How often do you self pleasure currently (over the last 6 months)

Never

Occasionally (Once a month)

Sometimes (Once a week)

Often (Once a week or more)

Every day or nearly every day

How easy is it for you to reach orgasm on your own?

Hard/Rarely happens

Difficult - happens less than 50% of the time

Okay - happens about 50% of the time

Easy - happens almost every time

Super Easy - I come more than once easily

How often have you had sexual intercourse in the last year?

Never/Less than 2 times

Rarely (less than once a month)

Sometimes (once or twice a month)

Often (Once to three times per week)

Frequently (5 or more days per week)

How easy is it for you reach orgasm when you have sexual intercourse with a partner? (Reflect on your last few sexual experiences)

Hard/Rarely happens

Difficult - happens less than 50% of the time

Okay - happens about 50% of the time

Easy - happens almost every time

Super Easy - I come more than once easily

My current feeling of sexiness on my own is

Not sexy at all

Super Sexy

Clear selection

My current feeling of self love is

Not loving at all

Super Loving

Clear selection

My current level of satisfaction with my sex life is

Not satisfied at all

Super Satisfied

Clear selection

My current level of satisfaction with my love/romantic life is

Not satisfied at all

Super Satisfied

Clear selection

My current level of feeling on purpose in my life is

Not aligned

Super Aligned

Clear selection

My current level of feeling turned on in my life is

Not aligned

Super Aligned

Clear selection

The following questions have to do with mental health please answer as honestly as possible:

Have you ever been diagnosed with mental illness? If so what and when

Are you currently taking or using any prescription or recreational drugs? If yes what, how much and how often? (All answers are kept strictly confidential and are for my own knowledge only to tailor coaching).

Thank you for completing these questions! I look forward to speaking with you. Please use this link to book a call to go over your application:

http://Calendly.com/oliviapavlov

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