Page 1 of 2

SkyDancer Massage Intake Questionairre

Welcome.

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% 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?

Age?

Sex/Gender?

Contact

Location

1. Experience

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

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

Have you tried any other healing or bodywork modalities?

Have you tried any other healing or bodywork modalities?
A
B

2. Intention

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

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

Anything else you'd like to share about your intention?

3. Comfort & Boundaries

How comfortable are you being naked during a session?

How comfortable are you being naked during a session?
A
B
C
D
E

How comfortable are you with my nudity during a session?

How comfortable are you with my nudity during a session?
A
B
C
D
E

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

How comfortable are you with gentle, intimate touch/yoni massage?
A
B
C
D

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 physical health and mobility?
A
B
C
D

How would you describe your mental and emotional health?

How would you describe your mental and emotional health?
A
B
C
D

How would you describe your sexual health?

How would you describe your sexual health?
A
B
C
D

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 & Interaction

How would you like this session to feel for you?

How would you like this session to feel for you?

What level of interaction and mutual touch feels right for you?

What level of interaction and mutual touch feels right for you?
A
B
C
D

6. Aftercare

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

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

7. Readiness / Timing & Booking

How soon would you like to book a session?

How soon would you like to book a session?
A
B
C
D

Do you have a preferred date and time for your session?

8. Final Notes

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

9. Important

I personally review each submission and will reply within 24 hours. If you don't see my message, please check your spam or junk folder.
To make sure you receive my reply, you can add my email to your contacts: james@skydancer.ca