Client Booking Form

Secrets of Tantra Booking Form

Please provide as much information as you feel comfortable with.
This form must be completed and sent along with a $75 deposit before a session can be scheduled. (There is no deposit required for the free 1/2 hour Intimacy Coaching session.)
Thank-you.

*Full Name:
Age:
*Contact Number:
*Email Address:
Occupation:
What kind of session would you like to have?
Reasons for pursuing this kind of session?
Intention(s) for your session?
Have you tried other Tantra Sessions?
Where did you learn about me?
List any related experiences? (ie. yoga, massage, meditation, reiki, martial arts, etc.):
Medical history relevant to our work? (ie. medications, sexual dysfunctions, injuries, medical conditions):
Best Session Date(s):
Best Time for Session:
Length of Time Required?
Anything else you wish to share?
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Contact
Email: janetlee@secretsoftantra.com