Name
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First Name
Last Name
Email
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Subject
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Message
What's your experience with Tantra, if any?
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Are you in a relationship? If so, how long?
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What are your main intentions for exploring Devotional Tantric Bodywork (i.e. enhance emotional or physical intimacy skills, curious about tantra, bring spark into relationship, sexual embodiment, self love, improve relationship with sexuality, heal sexual trauma, learn to master your sexual energy etc).
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Do you have any medical or mental health conditions or illnesses we should be aware of (including skin sensitivities, allergies, contagious conditions, or regular medications)?
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Have you had any recent surgeries or injuries?
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To ensure the safety of our practitioners, please provide any information about sexually transmitted infections (STIs) you may have. It's important to note that many individuals on a sexual healing journey have, or will experience, an STI in their lifetime. Your honesty and transparency in sharing this information is essential in maintaining a safe environment for all clients and practitioners and does not exclude you from our services
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Do you have any history of sexual trauma?
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Do you understand that therapeutic genital touch may (but not always) be included in your Devotional Tantric Bodywork session, always within your established boundaries and consent? Please be aware that you have the option to withdraw consent for genital touch at any time during your session.
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Yes
No
Do you understand that Devotional Tantric Bodywork with therapeutic genital touch is a consensual and therapeutic modality? While the experience may bring pleasurable sensations, it is essential to note that it is not intended for masturbation or sexual gratification, but rather as a part of the therapeutic process.
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Yes
No
Will you communicate with your practitioner during the session, including expressing any discomfort or boundaries, with the understanding that your practitioner will respect and accommodate your needs?
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Yes
No
Do you understand that all personal and sensitive information shared during the session is kept confidential, including any discussions or concerns related to STIs, and that session records are securely maintained as per the Privacy Policy located on the website?
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Yes
No
How did you hear about me?
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Referred by someone
Previous client
Word of mouth
Google
Social Media
Other
What's your mobile number, if you would like SMS booking confirmation/ reminders?
I declare the information provided is true & accurate. I understand that the practitioner is not a medical professional and that this practice is not a substitute for medical treatment. I have stated all known medical conditions, including information about STIs, and take responsibility for informing of changes that may affect this work. I understand the nature and purpose of the session and any potential risks involved. I acknowledge that therapeutic genital touch is a consensual and therapeutic practice, and I am participating willingly and without coercion.
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I Agree to the above Terms & Conditions