Bliss Massage Application
Please fill out this form to apply for the Bliss Massage. If approved I will contact you through the email address you have provided. I look forward to our time together. Namaste.
I acknowledge that a mandatory Soul Touch Session must be completed prior to booking a Bliss Massage
Yes
No
Full Name
Please note you will need to provide I.D at your appointment that matches this name.
Email Address
Phone Number
Age
What draws you to tantra at this time?
What are you hoping to explore or heal through tantra?
Have you previously received any form of tantra or energy work? If so, describe your experience.
How would you describe your understanding of tantra?
Which of the following best reflects your understanding of this practice?
Tantra is a spiritual and energetic practice that focuses on energy flow, mindfulness, sacred touch, breathwork, intention and emotional release.
Tantra is a sensual massage leading to orgasm or release.
I'm not sure but I'm open to learning.
Are you aware that this service does not include sexual acts ?
Yes
No
Is there anything else you'd like me to know about your goals or expectations?
I acknowledge that I understand the nature of this practice and agree to respect the boundaries of the practitioner.
Yes
No
Submit
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