Pre-Booking Questionnaire

I screen all new clients before a first Intimacy Guidance & Tantric Bodywork session to ensure this work is safe, respectful, and a supportive fit for both of us. Sessions require clear intentions, emotional readiness, and strong boundaries. A brief intake process helps confirm that we are aligned and that I can best support you.

I will be in touch within 24 hours with next steps for booking.

*All fields are required*

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Name (First and Last)

Town/City & State you are visiting from

Phone

Preferred Contact Method (If Email is selected & a response isn’t received within 24 hours, please check your spam folder or text 603-340-5143)

Date of birth (YYYY-MM-DD)

How did you hear about me?

Per industry standard, I require identity verification before scheduling new clients.
Are you willing to present a recent photo?

Are you willing to fully respect session agreements and boundaries?

Are you currently in a relationship?

If partnered, does your partner know you are seeking this work?

Tell me about yourself. (Include age, occupation, interests, any known sensitivities, allergies, disabilities or anything else you feel is relevant to share):

What drew you to this work? What are you hoping to experience, heal, or understand through this work? Have you worked with a practitioner in this area before?

Coming Up Roses

Sacred Sexuality

Pre-Booking Questionnaire

Thank you for your response. ✨