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Session Request Form: Cuddle Queen Jean
Complete the form below to request a virtual or in-person session with Jean.
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* Indicates required question
First name
*
Your answer
Last name
*
(We respect your confidentiality!)
Your answer
What's your best email address?
*
Your answer
What's your phone number?
*
Your answer
Jean's pronouns are she/her. What pronouns are right for you?
Your answer
Would you like a virtual (online) session or an in-person session? (In person sessions are in Los Angeles, California. Specifically, Santa Monica.)
*
Virtual (online)
In-person
When would you like your session to be?
*
(Request a specific date, day, and/or time of day)
Your answer
What are you looking for in a session?
*
Your answer
If you're active on social media and comfortable doing so, please share links so that Jean may get to know you.
Your answer
If it hasn't happened already, the next step is to schedule a zoom chat with you. When is the best time to schedule this?
E.g. Weekday afternoons, Wednesday at 12pm etc.
Your answer
Is there anything else you'd like Jean to know?
Your answer
How did you hear about us?
Your answer
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