What are you hoping to get out of your coaching experience?
What does "Intimacy" mean to you?
Physical touch
Eye-contact
Feeling heard
Sharing "secrets" or parts of yourself you wouldn't share with just anyone
Penetration
Feeling emotionally close
Trusting someone
Other:
What are some of your important identities? (examples include: race, ethnicity, gender, sexual orientation, survivor, parent, sibling, religion, immigrant, US citizen, education level, income level, athlete, belonging to a specific group, etc.
How do you feel about touch?
I do not like touch
Touch is challenging for me
Touch is neutral for me
Touch is sometimes enjoyable
I really like touch
Other:
Are you hoping to learn to be more in your body, rather than in your head?
Yes
No
Other:
How satisfied are you in your current intimate relationships?
Very satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
How satisfied are you in your current social interactions?
Very satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Have you ever experienced sexual trauma? If yes, please share what you feel comfortable sharing.
Is sex ever painful for you?
Yes
No
It has been painful in the past.
Other:
Do you have any medical issues that impact your sexual satisfaction?
Yes
No
Maybe
No, but my partner does
Other:
Do you feel that you have a rich fantasy life?
Yes
No
Maybe
Other:
To map your "core desire" in coaching, we will explore "common turn-ons" that you may resonate with. Select any from the list below to get us started.
Romance (candles, incense, soft music)
Energetic (eye gazing, circulating energy, feeling worshipped)
Passion (ripping off cloths, pushing against the wall, feeling animalistic)
Kinky (power exchange, spanking, ropes, flogging, sensation play)
Everything sounds great
Nothing really rings a bell
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