Personal Assesment Form

Sexploration Assessment

I invite you to join me on a journey to juice up your life! This work is deep and personal so I like to know you intimately, enough to best support your needs and help you achieve your greatest goals! Please only fill out what you are comfortable sharing. Speak with you soon!

  • Relationship dynamics. Challenges
  • What do you desire? Are there any challenges you struggle with this pursuit?
  • 1 as the least ready. 10 being the most ready and eager. What will that do for you?
  • Or suggest other locations where you'd like to meet, including LA, CA, if you are open to traveling to me for in-person sessions.
  • By registering and entering your email address & phone number you will agree to be contacted both by email & phone. Message and data rates apply.
  • This field is for validation purposes and should be left unchanged.