top of page

Please fill out the following form prior to your first appointment or consultation so that I may have a complete picture of your needs and desires. Then, you may book a phone consultation with me for $44 (this will credit toward your deposit should you choose to book.

This form is secure, sent straight to my email, 100% confidential, and only seen by and me.

Still don't like it? Click HERE.

New Client Discovery Form

Please provide complete, accurate information for the quickest screening and best experience!

About you
Sexual Orientation
Your Power Identity
The session
Services Requested:
Session Location
Thanks for submitting! I will contact you within a few hours Monday-Saturday!
bottom of page