Request Therapeutic Services
Please review our available dates in the calendar above, then contact us with what services you're interested in booking. We ask for an email address and a phone number capable of receiving texts so that bookings remain discreet during the workday.
I am interested in booking:
Body Work - $1/minute
Massage - $1/minute
Yoga Instruction - Private - $100 Hourly
Yoga Instruction - Group - $10/person/session
Sexuality Education - $100/session
Cupping - $1/minute
Professional Domme - $100/ 1/2 Hr
Desired Length of Session
One Hour - 60 Minutes
Hourly - 2 or more hours
Hourly - 4 or more hours
Custom - I'd like to discuss it
Requested Date of Service
Preferred Time Window
Morning [8 am - 11 am]
Mid-Day [11 am - 2 pm]
Afternoon [2 pm - 5 pm]
Evening [5 pm - 8 pm]
Night [8 pm - 11 pm]
Flexible - Any Available
Name (First and Last)
Phone # with Texting Capability
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service