Pleasure Alchemy - Intake Form

Pleasure Alchemy 𓆩♡𓆪 Intake Form

Welcome! I'm so excited that you'll be a part of this journey. Please fill out the intake form below to help me learn how I can best support you. Invitation to share whatever feels comfortable and know that this form is confidential.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
How did you hear about me?
What would you like to get out of this Container? invitation to share your vision for yourself in realm of sexuality, embodiment and pleasure.
What is your experience with embodiment work, Sacred Sexuality, Tantra, Somatic Sex Education or anything else that may be relevant.
Do you have anything that you would like me to know about working with you?
What method of payment do you want to use?

E-transfer to bodybelovedcoaching@gmail.com (Canadian banks only)Credit Card

My Products - Credit Card only

Pleasure Alchemy

$650.00CAD

Pleasure Alchemy Payment Plan 2x Payments of $315

$333.00CAD

4 Private - 60 min Coaching Sessions - Add on

$800.00CAD

Total

$0.00CAD

Pleasure Alchemy 𓆩♡𓆪 Intake Form