intake – Inner Alchemy PMA

Thank you for your interest.

Feel free to visit our offerings page to learn more.

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Name*

Email*

We regularly schedule events such as cuddle parties, sound healing, shared energy healing, drum circles and more. Please indicate if you would like to be added to our email list to stay up to date about our events.*

yes

no

Mobile Phone*

Age*

Occupation*

Have we met before?*

yes

no

How did you find us?*

What interests you in working with us?*

What best describes your sensual healing desires or experience? (multiple choice, no wrong answer)*

I am hoping to create a regular sensual healing routine

I am always craving touch and get bodywork regularly

Sensual healing was recommended by another professional

I don't have much sensual healing experience

I desire online coaching

I desire online coaching combined with physical touch

What type of offerings/supports would serve you best when we share time together?*

If you would like to schedule a face to face healing session, please indicate your preferred geographical location.

Boston, Massachusetts

Minneapolis/Saint Paul, Minnesota

I consent to the PMA agreement found at the link below. *

yes

PMA agreement.

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