Queen of Pleasure: Sexual Empowerment Coaching Interest Form
Hello! Thank you for being here, I so honor you and your journey, Queen. Please fill out this form to express your interest in working together one-on-one on your sexuality.
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Email *
Name *
Full Legal Name (to be used for legal purposes only, if needed. I.e., a client agreement form)
Pronoun(s) *
Required
Relationship status *
Mailing Address *
Phone Number (For delivery and text support)
Your desires in coaching
What are your biggest struggles or challenges regarding your sexuality /relationship to your own body / pleasure? *
What are the three things you most want from our work together? *
Can you share a few paragraphs of your sexual and/or relationship history that feels relevant to our work together. *
Do you have any previous experience with therapy, personal development, coaching, meditation, etc? If so, please describe:
Is there anything else you would like me to know?
Health History
Please share any information about your physical or mental health that is relevant to the work we will be doing *
Have you ever been diagnosed or treated for a serious psychological or mental health issue? *
Finances
Investment in coaching 1:1 coaching is $10,000. 6 month and 10-month payment plans are available. This includes: 

10 90-minute Coaching Sessions with Ann

Lifetime Access to Orgasmic Radiance

Custom Sexual Identity Alchemy Plan

Weekly Email Support

Bonuses: 

BONUS: 20% off programs for the year & retreats

BONUS: BJs for your pleasure

Are you ready to invest in coaching?

We can also coach around investment during our call if that's something you'd like to be supported around. My highest values are sovereignty, consent, and choice. The way I coach around money is never to pressure you but to hold space for you to make the best decision for yourself. *
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