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.
Where are you based?
How did you hear about Pleasure Alchemy?
Are you signing up with anyone? If so, add their name here
What would you like to get out of this program? invitation to share anything you want me to know about your vision for sexuality, embodiment, relationship and pleasure.
What is your experience with Sacred Sexuality, Tantra, Somatic Sex Education, embodiment practices 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

Pleasure Alchemy Single Payment

$680.00CAD Quantity

Pleasure AlchemyPayment Plan

$240.00CAD Quantity

Enter coupon

Total

$0.00CAD

Program details:

When: Sundays weekly September 14th- October 19th

Have Questions? Book a complementary call Here
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Pleasure Alchemy 𓆩♡𓆪 Intake Form