Erotic Awakening Custom Immersion Application

This application must be filled completely.

Name

First Name

Last Name

City & State

Partner's Name

First Name

Last Name

Partner's Email

How did you hear about us?

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From a friend

VITA

Goddess Within

What are you most hoping to gain from Erotic Awakening?

Do you have any experience with Tantra? Please give some detail.

Do you have questions or concerns? Please give detail.

Do either of you have concerns that your relationship is unhealthy?

Unhealthy relationships, by our definition, are relationships in which trust is totally broken, or within which one or both people feel unsafe. These are relationships that involve emotional abuse, manipulation, gaslighting, or continued betrayal. If you and/or your partner are in therapy, or receiving any kind of mental health or personal development assistance for any of these relationship problems, please provide detail. Thank you.