Before we meet in person for a session, I'd love to get to know you a little. This questionnaire will help me understand some of your needs, desires, and boundaries – and give you a chance to reflect on your intention or goals for the session. It will only take a couple of minutes.

This form is 100 percent private and confidential. And it's okay if your answers change between now and when I see you. Please be honest. And enjoy the process!

What is your first name?

Have you ever had a tantra massage or any sensual bodywork before?

Yes, I'm very experienced

I have some experience

This is my first time

Have you tried any other healing or bodywork modalities?

Yes

What brings you to this session? (You can choose more than one.)

Healing*

* Healing (Description)

reconnecting with my body releasing emotional or sexual blockages rebuilding trust or comfort with touch soothing anxiety or overwhelm recovering from past experiences

* Awakening (Description)

deepening spiritual awareness
learning tantric principles
strengthening mind–body connection
activating my sexual/spiritual life force
building confidence with intimacy

* Sensuality (Description)

relaxation and stress release exploring safe, consensual touch learning to receive deepening erotic connection experiencing full-body pleasure

* Curiosity (Description)

trying something new following intuition or curiosity open to seeing what unfolds not sure yet, just drawn to it wanting a unique experience

3. Comfort/Boundaries

How comfortable are you being naked during a session?

prefer being nude (won’t require draping)

comfortable being nude (prefer some draping)

prefer to remain partially clothed

prefer to remain fully clothed

How comfortable are you with my nudity during a session?

prefer if you were naked

comfortable with partial nudity (shirt off/pants on)

prefer you to remain fully clothed

How comfortable are you with gentle, intimate touch/yoni massage?

comfortable, excited

somewhat uncomfortable, but open

prefer no intimate touch for now

If you'd like to expand on any of your answers above.

Are there any parts of your body you want extra attention given to?

Are there any parts of your body you want me to avoid?

How would you describe your physical health and mobility?

generally good, no major issues

I have some chronic pain or tension

I’m recovering from an injury or surgery

I prefer to discuss this in person / by message

How would you describe your mental and emotional health?

generally good overall

manageable amounts of stress or anxiety

struggling with specific mental/emotional challenges

I prefer to discuss this in person / by message

How would you describe your sexual health?

generally good, everything works and I experience regular orgasms

some numbness or pain and/or trouble reaching orgasm

dealing with specific sexual health concerns/sti/performance issues

I prefer to discuss this in person

If you'd like to expand on any of the answers above.

Are you currently taking any medications that might affect your energy, mood, or sensitivity to touch?

How would you like this session to feel for you?

deeply relaxing and nurturing

grounding and stabilizing

emotionally releasing / cathartic

spiritually connected / sacred

playful and exploratory

I’m not sure yet – I’m open to your guidance

What level of connection or interaction are you desiring?

I’m ready for a fully connected, interactive tantra session

some light connection; open to more if it feels right

minimal connection or interaction - primarily one-way touch

I’m not sure yet, prefer to discuss in person

Immediately after the massage (before showering), what type of aftercare would you prefer?

Being held on the massage table

SkyDancer Massage Intake Questionairre

Welcome.

What is your first name?

Age?

Sex/Gender?

Contact

Location

1. Experience

Have you ever had a tantra massage or any sensual bodywork before?

Have you tried any other healing or bodywork modalities?

2. Intention

What brings you to this session? (You can choose more than one.)

3. Comfort/Boundaries

How comfortable are you being naked during a session?

How comfortable are you with my nudity during a session?

How comfortable are you with gentle, intimate touch/yoni massage?

If you'd like to expand on any of your answers above.

Are there any parts of your body you want extra attention given to?

Are there any parts of your body you want me to avoid?

4. Health

How would you describe your physical health and mobility?

How would you describe your mental and emotional health?

How would you describe your sexual health?

If you'd like to expand on any of the answers above.

Are you currently taking any medications that might affect your energy, mood, or sensitivity to touch?

5. Session Vibe

How would you like this session to feel for you?

What level of connection or interaction are you desiring?

6. Aftercare

Immediately after the massage (before showering), what type of aftercare would you prefer?

7. Readiness / Timing & Booking

How soon would you like to book a session?

Do you have a preferred date/time for your next session?

8. Final Notes

Is there anything else you’d like to share before we connect?