Tantra Energy Massage -  Client Intake & Informed Consent Form

Before you begin
Please take a moment to read the information below with care.

This form is a required step before booking a Tantra Energy Massage session.

It also contains important information about the nature of this modality and the space we may enter together. As you read, allow yourself to sense whether this work feels aligned for you at this moment.

If at any point you feel that this modality is not calling you, you are completely free to stop reading and simply not submit the form.

The purpose of this intake is to:

• ensure safety and clarity
• support a grounded and respectful container
• make our videocall shorter and focused on energetic alignment

Everything you share here is treated with the highest level of confidentiality, discretion, and respect.

Your responses help to:

• support your safety and well-being
• allow me to prepare appropriately for the session
• understand your intentions, experiences, and personal background
• ensure that this work is aligned and responsible for both of us

You are not required to share details beyond what feels necessary.
Honesty and sincerity are far more important than elaboration.

Completing this form does not automatically confirm a session.
After reviewing your responses, we will schedule a short videocall to check energetic alignment and determine the next steps.

Take your time as you move through the form and answer from a place of honesty and presence.

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Your name and surname *
(Whatsapp) contact number *
Email *
What's your mother tongue? *
Where have you found out about me? *
Required
What is Tantra Energy Massage?

Tantra Energy Massage is a spiritual and therapeutic bodywork practice that works through conscious touch to awaken, guide, and circulate life force energy in the body.

Through this approach, the session may support:
• deep relaxation and nervous system regulation
• release of energetic, emotional, and physical tension
• healing of trauma and energetic blockages, especially related to intimacy and vitality
• increased embodiment, presence, and sensory awareness
• a renewed sense of aliveness, balance, and inner clarity

Energy has its own intelligence.
During the session, energy is gently activated and guided to move upward and circulate through the body, supporting integration rather than discharge.

Supporting Men

Erectile challenges from stress or disconnect
Premature ejaculation – learning to regulate and receive
Performance anxiety – replaced with presence and peace
Deepening emotional intimacy and heart-body connection

Supporting Women

Rebuilding trust in the body after sexual trauma
Experiencing sacred, non-sexual, loving touch
Healing shame, numbness, or disconnection
Feeling deeply honored, respected, and safe
Reclaiming sensuality without pressure or expectation

*
Required
What Tantra Energy Massage is NOT

Please read this carefully.

• This is not a sexual nor erotic service.
• It is not about fulfilling fantasies.
• It is not a massage with a “happy ending”.
• It is not sexual intercourse.

During the session:
• I, the therapist, am fully clothed at all times.
• The client is without clothes but fully covered throughout the process.
• Touch is conscious, respectful, and guided by therapeutic intention.
• The focus is on energetic circulation, not stimulation.

The work is held with integrity, responsibility, and care.

*
Required
Consent & Responsibility

Tantra Energy Massage works on an energetic level.
Physical, emotional, and mental experiences may arise.

By choosing to receive this work, you acknowledge that:
• you take responsibility for your own experience
• you are willing to communicate clearly if something feels uncomfortable
• you understand this is a complementary, not medical, practice.

*
Required
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