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Nice to meet you!

You’re here because you know you’re ready for a change—more pleasure, deeper intimacy, and unapologetic self-expression. This is your invitation to step into a whole new world of connection and desire. Whether you’re ready to break through blocks in your sex life, identity, or personal growth, this application is the first step to creating the abundant life you desire.

This is a no-commitment inquiry only. Once you complete this form, I’ll reach out to you to discuss your goals further so we can determine if we are the right fit.

Name

First Name

Last Name

Preferred Pronouns

Email

Phone

(###)

###

####

Where are you located?

What frustrations, challenges, fears, or curiosities motivated you to seek Sex & Self-Intimacy Coaching?

What barriers do you see preventing you from achieving your goals?

How do you hope to feel after our sessions?

If we could wave a magic wand and your challenges were resolved, what would your life look like?

Have you ever worked with a coach or therapist before?

Yes, both

Therapist only

Coach only

No

If we decide that we're a good fit to work together, are you ready to invest your time, your energy, and financially in yourself right now?

Yes

No

I'm not sure yet

Is there anything else you want me to know?

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