Primal Pleasure Preistesshood Application

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Name
First Name
Last Name
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Email
example@example.com
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Preferred pronouns
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Have you undergone any reproductive surgeries (e.g., hysterectomy, oophorectomy, tubal ligation)? If so, please provide details.
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Ok
Ok
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Do you currently or have you ever experienced pain during intercourse or other sexual activities?
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Ok
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Have you used any methods for vaginal health, such as yoni eggs or wands, before?
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On a scale of 1-10, how connected do you feel to your pleasure right now? (1 = Completely Disconnected, 10 = Deeply Connected)
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Ok
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What are your current sources of pleasure in your life (physical, emotional, sexual, etc.)?
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Are you prepared to dedicate time weekly for practices, reflections, and group engagements over the next six months?
YESNO
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Are you comfortable making a financial investment of $777 for this transformative journey?
YESNO
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What are your primary goals for joining this group?
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Is there anything specific you hope to heal, learn, or unlock through this experience?
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Is there anything else you’d like me to know to better support you in this journey?
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Schedule a 30-min Heart to Heart with Melanie Let’s connect to explore your desires for this program and begin sowing the seeds of transformation and empowerment.
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