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Client Intake Form
Coaching sessions with Johnny Vajra can include guiding in breath, movement, body awareness, boundary-setting, communication, anatomy, sensate focus, massage, and other body-based practices.

The Alkǝmē Method 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, Johnny welcomes you on this journey.

Fill in your responses to the following questions in the blank spaces on this form. Share as much or as little as you like for each question. Adding more detail allows opportunity to dive even deeper.

Note in the response if you prefer to discuss it with Johnny Vajra directly or type "N/A" if not relevant to your situation.

All information disclosed (here as well as in session) will remain confidential.

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