NEW CLIENT APPLICATION FORM

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Tantra byron bay

Thank you for taking a few minutes to fill out a New Client Application Form.

This form is not essential, however it will assist me in better preparing for your session before you arrive.

Name*

Contact Ph No:*

Email Address*

What type of session are you booking for?

Mens SessionWomens SessionCouples Session

Do You Prefer:

Face To Face Sessions Talking OnlyFace to Face Session With BodyworkOnline SessionsCombination of Online & Face To Face

What is your motivation for having a session/s? Please describe...

What are your goals for your session? Please describe..

Do you have any issues that you would like to work upon? Please describe..

What sacred sexuaity/tantra work have you experienced before?

Are you in a committed relationship? If so, how long?

Are you taking any medications? Please describe

Do I have your consent to call you or txt you about your appointment?

YesNoPrefer TxtPrefer Phone

Do I have your consent to email you?

YesNo

What Are Your Preferred Days & Dates For Your Sessions?

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Thank you for contacting us. We will get back to you as soon as possible

Contact Phone:

(61) 0425 347 477

OCEAN SHORES

Byron Bay, NSW, 2483

Australia