Section 1 of 5
THOR - Assessment to 15 min introduction call
Thank you for taking a step further to see if we are the best fit for you. The following questionnaire will allow us to see if you can benefit a 15 min call where we can further assist you and let you know which program from the catalogue of products and services we have best suits your needs and concerns.
All fields require an answer. Should the section not be relevant to you, simply write in n/a on the 'other' option or as part of the short answer.
All fields require an answer. Should the section not be relevant to you, simply write in n/a on the 'other' option or as part of the short answer.
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Section 2 of 5
About you
Tell us who you are.
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Mauritius
Mauritius
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Technical officer
Technical officer
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40
40
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Section 3 of 5
Service Section
This forms allows us to orientate you further, towards the best outcome available for you, at The House Of Relationships.
Is this for your sexual health, for corporate services or entertainment services?
Is this for your sexual health, for corporate services or entertainment services?
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8
Couples journey towards sexual wellbeing
Event intervention - speaker, workshop delivery or party entertainment?
Retreats and event organisation
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or
add "Other"
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Ejaculation problem
Ejaculation problem
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I experience painful sex
I experience vaginismus
Other:
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If you have another concern in relation to the previous question, please write it in here:
If you have another concern in relation to the previous question, please write it in here:
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Section 4 of 5
Final Section
We dont like wasting your time and we do like wasting our time.
THOR has strict policies when it comes to time keeping and commitment.
THOR has strict policies when it comes to time keeping and commitment.
How committed are you to find sexual wellbeing? - answer if you are filling this form for personal concerns
How committed are you to find sexual wellbeing? - answer if you are filling this form for personal concerns
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I am scared but need to move forward
I have had enough of feeling like this and just want to get on with it
I am just curious about myself
Other:
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Based on the text above, please state anything else you would like us to know.
Based on the text above, please state anything else you would like us to know.
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Section 5 of 5
Thank you !
We will be in touch with regards to your appointment within the next 10 working days. In the event we are not a match, we will refer you to appropriate services where you could further enquire about options available to you.
If you wish to sign up to our newsletter, please visit our website register. Receive bi-monthly newsletter and offers that could be just what you were looking for!
If you wish to sign up to our newsletter, please visit our website register. Receive bi-monthly newsletter and offers that could be just what you were looking for!
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