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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.

1. Start Here

Your Name*:

Relationship Status:



Your Email*:

Second Phone:


Ok to leave a message?


Best time to contact you


2. Please describe your background in Tantra, Yoga, meditation, spiritual or other personal growth work:

3. Have you ever attended private sessions or workshops with a Tantra instructor?

4. Do you have any sexual concerns you wish to address in our session?

5. What would you like to open up for yourself, experience, or learn through our sessions?


6. How did you find me?       


7. Desired Date for Appointment:

      Desired Time:


After reviewing your answers I will contact you to set up an appointment.


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If you experience any difficulties, you may email your response to this form to: webmaster@tantricjoy.com