Are We Aligned?: Cuddle Client Intake Survey
Thank you for your interest in a cuddle session. To ensure the best experience for you, please take a moment to answer these questions honestly. All responses are completely confidential and used only to tailor your experience to your needs. Make sure you start a conversation with me via CuddleComfort after responding to this survey!
Name and/or CuddleComfort Username
What type of session(s) are you interested in? (Select all that apply)
In-Person Cuddle Session (comfort, safe touch, playfulness, emotional nourishment, space for somatic processing and emotional deep diving)
Virtual Cuddle Session (long-distance presence, guided relaxation, playful connection, emotional support and somatic processing)
Somatic Embodiment Practices (body-based awareness, nervous system regulation, intimacy & connection work)
Not sure yet, I’d love guidance in choosing.
What brings you to seek a cuddle session? (Check all that apply)
I’m looking for casual physical comfort and relaxation.
I want to experience safe, down-regulated and supportive touch with an emphasis on emotional attunement.
Nervous system regulation and grounding techniques.
Reconnecting with my body through breath, movement, or touch.
Support in regulating emotions and feeling more secure in relationships.
Sensual embodiment and deepening self-awareness.
Other
How do you envision using these sessions?
A one-time experience for comfort, play, and/or relaxation.
Occasional sessions for stress relief, emotional support, or joyful connection.
Regular sessions to cultivate deeper connection, embodiment, and playfulness.
A structured journey to explore intimacy, presence, and self-awareness.
Not sure yet.
What best describes your current relationship with intimacy and embodiment?
I feel connected but want to deepen my awareness.
I struggle with intimacy and want to feel safer in connection.
I often feel disconnected from my body or emotions.
I experience nervous system dysregulation (anxiety, freeze response, etc.) and want support.
I want to explore more joy and play in my body and relationships.
Other
Are you open to exploring somatic practices during our sessions? (Breathwork, movement, guided touch, playful expression, voice work, etc.)
Yes, I’m excited to explore.
Maybe, I’m curious but unsure.
No, I prefer a more passive experience.
What boundaries or preferences do you have for your session? (Examples: preferred communication style, touch preferences, topics to avoid, anything that would make you feel safest and most comfortable.)
Can you identify one of the biggest stuck points in your relationships? What patterns do you notice repeating? How does this feel in your body and emotions?
Anything else you’d like me to know?
Submit
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