Client Specification Form
Answer & tick the relevant categories.
If you do not fill in the boxes highlighted by an asterisk * the form will not send.
All information is treated in the strictest of confidence and is used to enhance my and your experience during a session.
* Required
Email
*
Your email
Name
*
Your answer
Telephone number
*
Your answer
Age
*
Your answer
Build/Height/Weight
*
Your answer
Sexual orientation
*
Your answer
Medical conditions if any?
*
Your answer
How did you find me?
*
Your answer
What compelled you to get in touch with me?
*
Your answer
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