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INITIATE Intake
Welcome.
We invite you to slow down. Let this form be a speed bump — permission to catch up with yourself and give this inception the presence it deserves. Once we receive your submission, you'll hear back from us within 2 business days with next steps.
What's your first and last name? Please put your preferred name here.
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What's your email address?
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What is your phone #?
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What's your birth date, time and location?
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What are you seeking support and guidance for?
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What's your current relationship to power, eroticism, pleasure and devotion?
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Why does Now feel like the right time?
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How do you know about my work?
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Why do you want to work with me instead of someone else? Why do you think I can help?
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What do you desire the next chapter of your life to look like? feel like? smell like? taste like?
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Are you financially and emotionally resourced to make this investment in your life?
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Are you financially and emotionally resourced to make this investment in your life?
A
YES! ❤️🔥
B
NO 🪐
Is there anything else you'd like me to know?
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Submit!
