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Discovery Call Inquiry Form
With Mistress Mariko
* Indicates required question
Email
*
Record my email address with my response
Full Name
*
Your answer
Pronouns
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Your answer
Your Age Group
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~17 years old
18~29 years old
30~39 years old
40~50 years old
51~65 years old
66~80 years old
81~ years old
Required
Select area(s) of your goals and desires for the session/package with Mariko
*
Love (including self love)
Dating
Relationships (family, friends, partner, work relationship)
Sex
Careers, Business, Creativity
Money/Wealth
Empowerment, power to influence
Tantric Sex (for singles)
Tantric Sex (for couples)
Kink/ethical BDSM
Ethical non-monogamy or poly
Other:
Required
Please describe your desires for coaching.
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Your answer
Please share any relevant background info or additional details re your desire selection above. What are the top 1-3 things that you most want to work on with Mariko?
*
Your answer
What are the things you may be most struggling right now and want to move through?
Your answer
Please share any additional, pertinent information you'd like Mariko to know about with regards to your goals and desires.
Your answer
Once your inquiry request is reviewed, we will contact you. Thank you for filling out this form! Blessings to you.
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