Contact Ki for Soma Ki Somatics and/or PleasureActive Somatic Sexology

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This is an interest form for Somatic Therapy/Embodiment Coaching and/or Somatic Sexological Coaching and Bodywork.

I support individuals to feel more connected to their body, their emotions, their values, their needs and their limits or boundaries. In the case where this support focuses on goals related to sex or sexuality, the process is via somatic sexology.

Please Note: for Somatic Sexology only, I am not currently taking on clients who are cis men / non-trans men unless I am also working with their partner(s) simultaneously. If you identify as a man and was assigned male at birth, but I do not see your partner as a client as well, please seek out another practitioner at https://sexologicalbodyworkers.org/

Email *

Name *

Country, State, and City / Town of Residence *

Phone number *

How did you hear about Pleasure Active / Soma Ki? If applicable, please include the name and email address/ website of the person/organization who referred you. *

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms