New Client Questionnaire

1

First Name

2

Last name

3

Preferred Name/Nickname

4

Date of Birth

5

Email

example@example.com

6

Phone Number

Area Code

Phone Number

7

Your preferred contact method

Phonecall

Text

Email

8

Please upload a photo of Government Issues Photo ID* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

9

Your suburb and postcodeThis gives Snuggle Bugs an understanding of where our customer base comes from

12

Have you experienced a professional cuddle session before?

Yes! Cuddles are comforting

No, this is new for me.

13

I think Platonic Touch Therapy (cuddling) is:

Awesome, I love it!

Interesting

Kind of wierd...

Please don't touch me

14

Please help us understand any accessibility or conditions you may be experiencing

Mobility Limitations

Immunocompromised

PTSD

Crisis (Separation, job loss, grieving)

Other

16

Please feel free to share any details regarding your needs and how we can best serve you

17

Do you have any other questions and/or comments?

18

Terms and Conditions* This field is required.

19

Please Sign* This field is required.Please sign to confirm you understand the terms defined in the Client Disclaimer and that all of the information provided was yours to provide.

Clear

20

Do you consent to Snuggle Bugs sending you booking confirmations and reminders through email and SMS?* This field is required.Content of Email/SMS: Exclusive discounts, including birthday discounts, sales, and weekly availability.

YESNO

21

Do you consent to Snuggle Bugs sending you marketing emails and texts with current discounts?Maximum of 2 per month

YESNO

22

Would you like to go on the weekly availability Email and Text list?Weekly emails and texts of availability

YESNO