Client Application to Receive Coaching with Designed 4 Pleasure
Hello!

This application is where our journey begins. Please take your time with it and answer thoroughly and honestly.

These potent answers are the key to getting the most from our time together. Answers to all of these questions are mandatory.

If you are in a couple and desire to apply for couples coaching, each of you must fill out an application individually.

I look forward to connecting with you, holding space, and hearing how your life is now, how you want it to be, what is blocking you from being there now, and supporting you to get you what you want once and for all!  🙌

With Pleasure,
JenMG

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Email *
Email *
Today’s Date *
MM
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DD
/
YYYY
Your Full Name (include preferred name) *
If Applicable: Partners Full Name (if applying for Couples Coaching each of you need to fill out a separate application)
Phone number including area code (###-###-####) *
Your Preferred Gender Pronouns *
Occupation / Job Title *
Are you single or in a relationship? Which of the following best describes your current relationship status? (check all that apply) *
Required
Your Primary Erotic Blueprint Type (from the quiz) *
Do you have a preference of a Designed 4 Pleasure Coach to work with? *
Required
Tell us about what working with your choice of coach would mean to you. (Or tell us about being fine with either.) *
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