Session Request Form
All fields must be answered
A link to your Social Media presence or business website. I will not try to friend or connect with you there.
Best time to get back in touch with you
May I leave a voice message?
Where did you see my ad or website?
Do you have any past experience in your desired modality?
What calls you to this experience? What are your intentions and desires?
Do you have any physical or medical issues that could prevent you from moving your body easily? Are you pregnant? Any medications that affect the heart or blood pressure? Any allergies? Please let me know so I may adjust our session to best suit you.
What is your passion in life?
What are your pronouns? He/Him, She/Her, They/Them, etc.
How long of a session are you desiring and what type?
Desired Session Date/Time
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