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Couples Massage Training Questionnaire
Welcome.
This form is completely private and confidential. It helps me understand your relationship and what you’d most like to learn during your session.
There are no right or wrong answers. Just be honest and
enjoy
the process!
Names and Ages
*
Email (primary contact)
*
1. Relationship
How long have you been together?
*
How long have you been together?
A
Under 1 year
B
1–3 years
C
3–10 years
D
10+ years
How would you describe your relationship overall right now?
*
How would you describe your relationship overall right now?
A
We feel strong and want to deepen intimacy
B
Our relationship is good, but intimacy is inconsistent
C
Intimacy has become a source of tension or frustration
D
We’re going through a difficult or transitional period
2. Intention
What would you most love help with?
*
What would you most love help with?
A
Giving a relaxing full-body massage
B
Creating safety and trust with touch
C
Communicating during intimacy
D
Building confidence giving touch
E
Learning to receive more fully
F
Expanding our sensual repertoire
G
Understanding arousal and energy
H
Orgasm and pleasure skills
I
Slowing down and being more present
J
Reducing pressure around intimacy
K
Other
If you'd like to expand on any of your answers above.
3. Experience & Comfort
Have you ever given your partner a full-body massage before?
*
Have you ever given your partner a full-body massage before?
A
Never
B
A few times
C
Yes, but we want to improve
D
Yes, regularly
How would you rate your communication on a scale of 1-10?
*
How would you rate your communication on a scale of 1-10?
0
1
2
3
4
5
6
7
8
9
10
These next questions help me understand your individual comfort levels.
For him:
How comfortable/confident are you giving intimate touch?
*
For him: How comfortable/confident are you giving intimate touch?
A
Very comfortable and I feel confident
B
Somewhat comfortable, but lack confidence
C
Somewhat uncomfortable or unsure
D
Very uncomfortable, I feel lost
For him:
How comfortable are you receiving intimate touch?
*
For him: How comfortable are you receiving intimate touch?
A
Very comfortable, I love it
B
Somewhat comfortable, I usually enjoy it
C
Somewhat uncomfortable or unsure
D
Very uncomfortable receiving touch
For her:
How comfortable/confident are you giving intimate touch?
*
For her: How comfortable/confident are you giving intimate touch?
A
Very comfortable and I feel confident
B
Somewhat comfortable, but lack confidence
C
Somewhat uncomfortable or unsure
D
Very uncomfortable, I feel lost
For her:
How comfortable are you receiving intimate touch?
*
For her: How comfortable are you receiving intimate touch?
A
Very comfortable, I love it
B
Somewhat comfortable, I usually enjoy it
C
Somewhat uncomfortable or unsure
D
Very uncomfortable receiving touch
For him:
How is your orgasmic response to touch?
*
For him: How is your orgasmic response to touch?
A
Great! I enjoy regular orgasms from all types of stimulation
B
Good. I can orgasm if the conditions are just right
C
Not-so-good. I find it difficult to orgasm under most conditions
D
I struggle with erections and/or orgasm
For her:
How is your orgasmic response to touch?
*
For her: How is your orgasmic response to touch?
A
Great! I enjoy regular orgasms from all types of stimulation
B
Good. I can orgasm if the conditions are just right
C
Not-so-good. I find it difficult to orgasm under most conditions
D
I experience numbness or discomfort and rarely orgasm
4. Session Boundaries
Are you both comfortable with me demonstrating hands-on massage techniques on her body?
*
Are you both comfortable with me demonstrating hands-on massage techniques on her body?
A
Yes, comfortable with hands-on demonstration
B
Comfortable with non-intimate touch only
C
Uncomfortable with any touch
D
Not sure yet
Are you both comfortable with nudity during the session?
*
Are you both comfortable with nudity during the session?
A
Prefer being nude (won't require draping)
B
Comfortable being nude (prefer some draping)
C
Prefer to remain partially clothed
D
Prefer to remain fully clothed
E
Not sure yet
5. Readiness / Timing & Booking
How soon would you like to book a session?
*
How soon would you like to book a session?
A
As soon as possible
B
Within the next couple weeks
C
Within the next month or two
D
I'm just exploring for now
Do you have a preferred date/time for your next session?
6. Final Notes
Is there anything else you'd like me to know before we meet?
Submit
