Sexual Awakening For Women Programme
Hello and thank you for your interest in my Sexual Awakening For Women Programme.

I'd like to learn more about you so I can understand how best this programme can support you. After this, I'll be in touch to arrange a 45-60 minute video call to meet you, dive deep into your hopes and dreams and check that this programme is suitable for you.

So I can serve you to the best of my ability, please include below any significant physical or mental health issues, including if you are under the care of a medical practitioners, psychiatrists or similar.

I look forward to receiving your application!

Much love,
Natalie
Email address *
First Name *
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Last Name *
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Contact Number *
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How did you first learn about Natalie's work? (If via recommendation, please give the person's name) *
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Why are you drawn to working specifically with Natalie? *
Your answer
Hopes & Dreams
What bothers you most about your current sexual experiences? *
Your answer
Imagine the absolute best possible outcome, what would be different after this programme? *
Your answer
Imagine this being a reality - how would you feel? *
Your answer
Have you worked with a coach or therapist on similar issues? If so, what was the outcome? *
Your answer
Your Readiness For This Programme
Do you have the finances available for this programme? *
Are you able to get to Clapham (SW8 3JX) twice a month for the 6 months of this programme? *
Are you willing to make time for yourself to practice what we learn in the session and rest and integrate your experiences after sessions? *
Your answer
Are you willing to face the difficult parts of what might be holding you back and feel and express your emotions relating to those things? (I will support you) *
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Your Background
Tell me about your best sexual experiences: What made them special? *
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Do you have a sexual partner at present? How honestly can you talk to them about your sexual challenges? *
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Please share if you have experienced any trauma, abuse, recent addictions, major losses or other emotional stress that may contribute to your ability to relax and feel aroused. *
Your answer
Any medical conditions or medication? Please include mental health, psychotic episodes, anything relating to lungs (including asthma), heart, major organs or that restricts your mobility. *
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Any serious allergies? Please note: I use a coconut oil and almond oil mix for massage. *
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Please list major personal development work you have done in your life? (counselling, body-based therapies, sexual retreats, tantra classes, breath work, other…) *
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As someone who has expressed interest in working with me, you will receive my (infrequent) newsletter, Empowered Healing, from which you can unsubscribe at any time.
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