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.)*
Learning to say No, hear No, and stay connectedPracticing clear boundaries and honest communication in intimate momentsFeeling safer and more at ease in your bodyDeveloping a more attuned relationship to desire, arousal, and pacingLearning to ask for what you want without pressure, collapse, or self-abandonmentBecoming more present and embodied during sexual or intimate experiencesUnderstanding and shifting relational or erotic patterns you repeatExploring intimacy beyond performance, urgency, or goal-orientationLearning how to slow down so you can actually feel pleasure, not just chase itBuilding confidence initiating or responding to touch with awareness and consentLearning how to feel turned on while staying emotionally realHealing shame, fear, or disconnection around sexuality or desireLearning to stay with your body and partner instead of being in your headAddressing concerns related to porn use or compulsive sexual patternsExploring issues related to premature ejaculation or erectile inconsistencyWanting to last longer or feel more choice and agency around arousalExploring breath, pacing, and nervous-system regulation to support pleasure and presenceOther
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

3

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?*
Ongoing remote workIn-person sessions (Bay Area)A longer or more immersive containerI’m not sure yet and would like guidance
Type option 1Type option 2Type option 3Type option 4
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).
$1,000 or less$2,500-5,000$8,000-$12,000$20,000 or more
Ongoing work at my current rates feels realisticI’m interested, but my budget may limit how frequently we meetI’m not sure yet and would like to explore this together
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?

1

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:*
I bookedI am going to book
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Embodied Intimacy Exploration Questionnaire

The Basics

Going Deeper