www.tantrabyronbay.com

Tantra byron bay

~ Phone: 0425 347 477 ~

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NEW client Application Form

Thank you for taking a few minutes to fill out a New Client Application Form. This form is not essential, however it will assist me in better preparing for your session before you arrive.

Your Name
Contact Ph No:
Email Address
What type of session are you booking for?
- Mens Session
- Womens Session
- Couples Session
Do You Prefer:
- Face To Face Sessions Talking Only
- Face to Face Session With Bodywork
- Online Sessions
- Combination of Online & Face To Face
What is your motivation for having a session/s? Please describe...
What are your goals for your session? Please describe..
Do you have any issues that you would like to work upon? Please describe..
What sacred sexuaity/tantra work have you experienced before?
Are you in a committed relationship? If so, how long?
Are you taking any medications? Please describe
Do I have your consent to call you or txt you about your appointment?
- Yes
- No
- Prefer Txt
- Prefer Phone
Do I have your consent to email you?
- Yes
- No
What Are Your Preferred Days & Dates For Your Sessions?
Send Message

Thank you for contacting us. We will get back to you as soon as possible

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[email protected]

Contact Phone:

(61) 0425 347 477

OCEAN SHORES

Byron Bay, NSW, 2483

Australia