Embodied Intimacy Exploration Questionnaire

Embodied Intimacy Exploration Questionnaire

Thank you for your interest in working together. Please take your time and notice what arises in your body, emotions, and desires as you read each question. I work with intimacy, erotic energy, and relational presence in a way that is deep, experiential, and discerning. I do not work with everyone who reaches out. Your responses help me understand not only what you want, but how you relate to desire, boundaries, vulnerability, and responsibility. There are no “right” answers here. I’m listening for honesty, self-awareness, and your capacity to engage with nuance and consent. I will review your responses and let you know whether I feel aligned to explore working together, and if so, what kind of container I’d recommend. Thank you for meeting this process with care and sincerity.
The Basics
Name
Phone Number
Email
Where do you live?
What's your profession?
What's your relationship status?
How did you find out about this work? Who can I thank?
Going Deeper
What is drawing you to reach out at this point in your life? What are you hoping might become possible through this work? (I invite you to take your time with this one.)
What specifically might you be interested in?

Other
How ready do you feel right now to invest time, energy, and resources into your intimate life, sense of self in relationship, and how you move through the world?

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2

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4

5

1 is not important to me, 5 is if I do this, it will change my life
How will you know that our work together has been fruitful? What changes will you see in yourself? How will your life be different?
If we decide to work together, which of the following feels most aligned for you right now?
What level of time, energy, and financial investment are you willing to make in your intimate life right now?
How I Work: I typically work with clients over time rather than in one-off sessions.This allows the work to unfold with continuity, pacing, and real integration into your life and relationships. Most new clients begin with a 90-minute session ($450) and, if we decide to continue, move into ongoing 75-minute sessions ($375).
What level of financial investment feels realistic for you at this stage?
Investment & Capacity This work is designed to be ongoing. How realistic does that feel for you right now?(Please answer honestly — there’s no “right” response.)
If helpful, please share any budget considerations that feel important for me to know:
In this moment, how committed do you feel to working together at this time?

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2

3

4

5

1 is not interested, 5 is yes, let's get started right away!
What else would you like me to know?
Please take a minute and schedule our 15-minute Alignment Call at a time that works best for you:
Did you book our call?
Should be Empty:

Embodied Intimacy Exploration Questionnaire

The Basics

Going Deeper