Thank you for filling in the intake form, I will get back to you shortly 11https://conscious-sexuality.co.uk/wp-content/plugins/nex-forms-express-wp-form-buildertruemessagehttps://conscious-sexuality.co.uk/wp-admin/admin-ajax.phphttps://conscious-sexuality.co.uk/conscious-sexuality-intake-formyes1fadeInfadeOut Welcome to Conscious SexualityConscious Sexuality can include coaching in breath, movement, body awareness, consent and boundary setting, communication, anatomy, sensate focus, massage, erotic trance and other body based teachings about sex. It is designed to nurture, deepen or awaken the sensual self. Whether you want to heal feelings of sexual shame, explore the intersection of sex and spirit, better express your desires or deepen erotic pleasure. I welcome you on this beautiful journey*Name you like to be called*Email*Phone NumberHow did you hear about me?Do I have your consent to?Send an occasional (no more than once a month) newsletterSend marketing emails, with exclusive offers Back Next Intention(s) and Goal(s)Intention 1An intention is different to a goal in that its more of a guiding light, such as learning how to feel more in my bodyCurrent Level of Fulfillment0 = Not at all fulfilled, 5 = Moderately fulfilled, 10 = Completely fulfilled 0Intention 2An intention is different to a goal in that its more of a guiding light, such as learning how to feel more in my bodyCurrent Level of Fulfillment0 = Not at all fulfilled, 5 = Moderately fulfilled, 10 = Completely fulfilled 0Intention 3An intention is different to a goal in that its more of a guiding light, such as learning how to feel more in my bodyCurrent Level of Fulfillment0 = Not at all fulfilled, 5 = Moderately fulfilled, 10 = Completely fulfilled 0Goal 1An goal could be learning all the parts of my vagina or being able to orgasm multiple timesCurrent Level of Goal Realisation0 = Not at all fulfilled, 5 = Moderately fulfilled, 10 = Completely fulfilled 0Goal 2An goal could be learning all the parts of my vagina or being able to orgasm multiple timesCurrent Level of Goal Realisation0 = Not at all fulfilled, 5 = Moderately fulfilled, 10 = Completely fulfilled 0Goal 3An goal could be learning all the parts of my vagina or being able to orgasm multiple timesCurrent Level of Goal Realisation0 = Not at all fulfilled, 5 = Moderately fulfilled, 10 = Completely fulfilled 0 Back Next Sexual History and InformationDifficult things from my sexual/sensual history I want you to know are?Wonderful things from my sexual/sensual history I want you to know are?Difficult things about my current sexual/sensual situation I want you to know are?Wonderful things about my current sexual/sensual situation I want you to know are?Please describe the sexual education and messages you received about sexuality while growing upPlease describe your first sexual experence(s) and how you feel those experiences affected youPlease describe your first sexual experence(s) and how you feel those experiences affected youPlease describe your best erotic experience(s)include what was happening? What was your inner experience? Was it alone or with a partner? What was you thinking and sensing?Please tell me about your intimate relationship(s)Please tell me about any past sex therapy or bodyworkSexological bodywork, sexual massage, Tantra, sensual massage, sex worker, surrogate, otherSpiritual PractiveDo you have any spiritual practices or a sense of the sacred that is part of your life? What is the role of sexuality within this (if any)?Any other informationPlease add anything else you would like me to know about your sexual history or current desire patterns, including gender identify, sexual orientation(s), self pleasure practices, fantasies, the use of pornography or any other information that you might feel relevant Back Next Relaxation & PleasureWhat gives you pleasure in life?How do you relax?What drains your energy in day to day life?How are your day to day emotions?Are your thoughts mainly focused in the past, present or futureAre your thoughts mainly self critical or supportive/encouraging Back Next What would you be interested in learning about?Please tick all that applyFinding pleasure for myselfLearning new ways of love makingincreasing self careWork on troublesome turn-on and sexual fantasyUnderstanding/knowing myself/ my bodyMoving beyond sexual fantasyUnderstanding/knowing my partner/s and their bodyWorking on or overcoming shameOpening up to who I really amWorking on or overcoming fearOpening up to who my partner/s really is/areExperiencing high arousal in a relaxed stateWorking on boundariesDiscovering my needs and desiresIncreasing sexual satisfactionCommunicating my needs and desiresG-spot explorationsSelf/other pleasuring techniquesExperiencing orgasmCreating healing or sensual rituals for myselfCreating healing or sensual rituals of connection with partnersCreating more intimacy with partner/sCreating more pleasure with partner/sExtending/expanding orgasmic statesLearning about Tantric practicesPlease add anything else not on the list that you would be interested in learning about Back Next Informed Consent and AgreementsPlease tick all boxes to show you agreeThese sessions are not psychotherapy or medical treatmentI have informed you of any medical conditions I am aware of, and I will update you on any changes to my health statusDrugs and alcohol are not compatible with these sessionsCancellation PolicyIf you cancel and give less than 24 hours notice you will be billed for a full sessionSignatureSignature Back Finish
