Name * First Name Last Name Phone * (###) ### #### Email * Preferred method of communication: * Text Email Gender/Pronouns * Age * What would you like to explore? * What experience do you have? * What are your goals for our session? * Tell me something about you! * Anything else I should know? Any questions for me? * Consult Method * Required before our first session together; this is how we screen each, start getting comfortable and discuss limits/interests. If I accept your inquiry, I will send my calendar. Video Chat ($50/hour) Coffee ($150, 1 hour) Dinner ($250, 2 hours) Where did you find me? * Thank you! Interested in anything you’ve seen here? LET’S PLAY