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I would like to get to know you before our first
appointment - please answer the following questions. Feel free to
respond to them as briefly or thoroughly as you wish. Your answers are
100% confidential.
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1. Start Here |
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Your Name*: |
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Relationship Status: |
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Age: |
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Phone*: |
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Your Email*: |
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Second Phone: |
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State: |
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Ok to leave a message? |
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City: |
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Best time to contact you |
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2. Please describe your background in Tantra, Yoga, meditation, spiritual or other personal growth work: |
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3. Have you ever attended private sessions or workshops with a Tantra instructor? |
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4. Do you have any sexual concerns you wish to address in our session?
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5. What would you like to open up for yourself, experience, or learn through our sessions?
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6. How did you find me?
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7. Desired Date for Appointment:
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Desired Time: |
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After reviewing your answers I will contact you to set up an appointment. |
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receive free