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Which statement best reflects your intention?
I am ready for deeper, embodied transformation
I am exploring and curious both not fully committed yet
I am unsure but interested
What is your current profession or area of focus?
What is currently bringing you to explore this work?
Which of the following best describes your current experience?
What are your deepest hopes and intentions for this sacred experience together? What do you most wish to open, heal, or awaken as a couple?
Are you wanting to do in person sessions, online or a combination of both?
In-person
Online
Combination
I'd be willing and able to come to Kauai for a VIP immersion day if invited
How did you find me?
Instagram
Facebook
EPIX Sex Life
Google Search
Referral
Other
How do you prefer to work with me?
In Person
Extended Journey
Custom Experience
Not Sure
What led you to seek me out? Is there something you're currently challenged with? How long have you been dealing with/struggling with this? How has this impacted your life?
On a scale from 1-10, how committed are you to transformation and growth?
Do you have a personal practice for connecting to your own life force energy, body, or inner world? (breathwork, movement, meditation, etc.)
What other types of healing modalities have you done before? (Select all the apply)
Reiki
Therapy
Coaching
Sensual Healing (massage, tantra, etc)
Other
Is there a way you wish your partner showed up for you energetically, emotionally, or spiritually that feels missing?
How often do you share moments of true presence and heart connection with each other?
How do you feel after moments of deep energetic or emotional release? (loved, depleted, expanded, grounded, etc.)
What do you most love about moments of deep union, vulnerability, and energetic merging with your partner?
If I feel you would benefit from working with me and I sense you are ready and aligned, ideally when would you like to have your first session? What days and times generally work best for you?
As my sessions are very intimate, discretion and safety is paramount. Are you able to provide a business website, LinkedIn profile or other social media profile so I may verify who you are? Please add URLs below.
Do you have any physical limitations, challenges or health concerns I should know about?
Is there anything else you would like me to know?
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