Tantra Therapy Session

Thank you for taking the time to complete this intake form. Your responses will help me understand you better and allow me to tailor our session to your unique needs, ensuring that we focus on what will benefit you the most. :)

Upon submission of your intake form, you will receive via email a link to book a Discovery Call with me so we can connect, go over your intentions, and explore how I can best support you on this journey.

Please note: In-person appointments are only booked after we’ve had this Discovery Call. This ensures we’re aligned and that the session we co-create is meaningful, intentional, and supportive of your current needs.

I look forward to meeting you and holding space for your transformation. :)

With love,
Nathalia 💗

Full Name *

Phone *

Email *

Gender *

Male

Female

Prefer not to say

Date of birth *

Where are you located/seeking sessions? *

How did you hear about my services? *

What is your experience with Tantra and Healing work? *

What are your main goals and intentions for seeking a Tantra Healing Session(s)? Do you have any expectations you would like to achieve/experience? *

Which spiritual and healing activities are currently incorporated into your life? (Examples include meditation, yoga, reiki, plant ceremonies, etc.) *

In which aspects of your life do you seek to enhance/expand/improve? *

Do you feel you struggle with surrender and/or relaxation? *

Yes

I am unsure

Are you currently in a Relationship/Sacred Union/Marriage? If so, does this person know you are seeking Tantra sessions? *

Do you drink alcohol or smoke cigarettes? If yes, how often? *

Are there any medical things I need to know about? Allergies, medications, medical devices etc... *

Do you have any STDs/STIs/infectious illnesses/skin lesions? *

Yes

Unsure

When was the last time you got tested for STD/STI's? *

Are you currently pregnant or breastfeeding? *

Yes

Unsure

Available/preferred dates/times for a session (Book session 24-72 hr in advance) *

What is your occupation? *

Please include a link to your business website, linkedin, facebook or instagram to verify your identity. If you do not have social media, a form of ID will be required* *

Do you have any additional questions or concerns you would like to share with me? *

For in-person sessions, I kindly request a $300 deposit at the time of booking. This deposit is necessary as it allows me to allocate the necessary time and prepare adequately for our session together. By securing your booking with a deposit, you are not only reserving your spot but also allowing me to block off time on my schedule to be fully present for your session *

Yes, I understand and agree to pay the $300 deposit at the time of booking

No, I prefer not to pay a deposit for the session booking

I would like more information regarding the deposit requirement before proceeding

By clicking this box, I understand that submitting this form does not secure an appointment. I must schedule my Discovery Call on the calendar page that appears after submitting the form. If I do not book the call, no session will be confirmed.