How May I Serve You?

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Answer each section as openly and honestly as you can within 3-4 minutes. If it doesn’t apply to you, proceed to the next choice.

After your choices are submitted, you will be contacted within 48 to 72 hours for your personal consultation and shopping experience.

I look forward to chatting with you soon! Dr. Nicole

Email *

Contact Info

First & Last Name

Contact Info

Phone Number & best time you can be reached

Beauty

Choose all that apply.

I love hair care options with natural and vegan ingredients

I love rocking a variety of looks / or my partner does

Call me simple but I love a Nude look with healthy skin

Not really big on cosmetics at all but I love a good lipstick or gloss on me or my partner

Which one are you?

Choose one.

I always forget to moisturize

I moisturize & my skin absorbs moisture well

I moisturize but a few minutes later it is as if I hadn't put anything on

I have drier skin or skin conditions like eczema or psoriasis

Clear selection

What is your skin sensitivity?

Choose one.

Very Sensitive

Somewhat Senstive

Neutral

Not Sensitive At All

Clear selection

Wellness

Choose all that apply.

My pelvic floor needs strengthening (I have a hard time controlling my bladder or orgasms)

I have one or more of the following: dry feet and heels, shaving and waxing irritation, scars or stretch marks

I experience dryness, itching, redness, burning, and general discomfort my intimate areas

I have discoloration of the skin in intimate areas examples include the inner thigh as a result of chafing, male or female genital area (ladies - along like the bikini line or darkening under the breast)

I use lubricants mostly for…

Choose all that apply.

Vaginal Intercourse

Anal Intercourse

Toy Play

I’m undergoing hormone replacement therapy and have chafing/dryness in my intimate regions

I don’t really use Lube

The foreplay to the foreplay

My partner and I love giving each other body massages every chance we get.

True

False

Clear selection

The foreplay to the foreplay

My partner can stimulate me by stimulating my sense of smell with their body fragrance.

True

False

Clear selection

Foreplay

Choose all that apply

I love flavored lick-able things that provide stimulation and excitement in the bedroom

I require more external stimulation to the nipples, clitoris or testicle area to orgasm

My jaw locks while performing oral sex

Stamina during intercourse is a challenge

Tease me & Please me

Choose all that apply

Maybe just a Blindfold

Cuffs & Paddles are good with me

Sex Swings are a go over here

Vibrators - I would use a toy for:

Choose all that apply

External Stim

Dual Stim –2 Places at once

Internal Stim

Couples Use

Anal Play

Not certain I need guidance

Any additional questions or topics you would like to discuss?

Send me a copy of my responses.

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