New Client Form

Victoria Tantra

Intake form
Name or Nickname
Phone Number *
E-mail *
example@example.com
Is it ok to contact you by phone? (Check all the apply) *

Contact me by phone Contact me by text Contact me by email only
How did you hear about my practice? *
Other *
Have you had any previous experiences with Somatic Sex Coaching, Erotic Bodywork or Tantra? *
What are your desires or intentions? *
What type of session are you interested in booking? *

Tantric Bodywork Sex Coaching Bondage Massage Tantra Deep Dive Mentorship
Please list anything else you would like me to know about your erotic history.
Please add some days and times that you would prefer to book. *
Due to my low volume of appointments and high demand of bookings please be prepared to plan a minimum of 48 hours in advance.
Should be Empty:

Victoria Tantra