Apply for pleasure coaching: Basics Name * First Name Last Name Pronouns and/or gender (if you feel like sharing) Email * Phone (###) ### #### Location Coaching Questions Why are you interested in working with me? What are you looking to get from coaching? What parts of your pleasure would you like to explore, heal, and/or deepen? If you want support with non-monogamy, what is your relationship structure currently like? What is it that feels challenging for you in non-monogamy? What do you feel holds you back from being your most liberated, fully-expressed self? What is your previous experience with therapy/coaching/personal development? Have you recently or are you currently being treated for any psychological health diagnoses? Do you have a preference between a hands-on, 6-month container or ongoing sessions? Not sure Supportive 6-month container Just sessions Want to understand the difference Whatever will get me to my goals Pricing for this coaching ranges from $180/hr to $1k/month. Would you like to discuss a payment plan? Is there anything else you’d like me to know? How did you hear about me? * Yeeeessssssss! You did it! Thank you so much for reaching out, and for your thoughtful input to this form. I will go over your responses and be in touch soon about scheduling a time to connect.In celebration of your pleasure, Irene
