Sexological Bodywork - Session
Welcome on your journey to more embodiment and aliveness!

Please fill out this form if you want to book a session with me.
I'm looking forward to getting to know more about you!

Your answers are strictly confidential.
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Email *
Phone
(If you wish for a 20 min. call before we meet in person,
please let me know what is the best time for me to reach you)
Name and pronoun
 *
In which of these languages do you feel most comfortable?
Occupation
Do you have any experience with meditation or other regular practices such as yoga or mindfulness?
Do you have any experience with Sexological Bodywork?
If yes, please share a few words about your process:
What kind of support would you like?
Which topics would you like to work on?
Please formulate your intention for our work together:
Are you/do you have...
If for any reason the agreed appointment, online or in person, cannot take place, please let me know as soon as possible by phone or e-mail.
If you cancel up to 48 hours before the agreed appointment, there are no costs.
If canceled 24 hours before the agreed appointment, half the cost of the session.
If canceled at short notice within 24 hours before the appointment, the entire cost of the session.
I ask for your understanding for this regulation.
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Are you currently suffering from physical or emotional symptoms that may be related to traumatic experiences?
If yes, please provide a brief explanation:
Does another person regularly accompany you on a professional level in your process?
If yes, what kind of support is that?
How did you hear about me?
Is there anything else you would like me to know or would like to ask me?
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