Session Preparation

If you are interested in a session, please fill out the Questionnaire below.

Please copy and paste into a word document and send to me as an attachment, or copy right into an email.

Some questions you may not understand. You are welcome to email me to ask me to explain further, or we can go over this when we meet in person. If you cannot answer all of the questions now, it is ok. Just do the best you can. When you have completed the form, please email it to me or bring it with you to your appointment.

Take care, and I look forward to seeing you soon! Astarte.

Tantra Client History Form

(To be filled out by all new clients)

This form and all information obtained from it are kept in strict

confidence and honored as an essential step in an intimate relationship between client and Intimacy Educator. No information will be shared from this form or from experiential sessions. You will not be contacted at your home, but if you

wish e-mails may be sent to you for promotions or to discuss

appointments. All correspondence is confidential.

Please email this form to me at dakinislove@gmail.com or Asttarte@dancewithbliss.com

Name: 

Age: 

E-Mail: 

Address:

Phone:

What is your occupation? How do you feel about your work?

Are you currently in a relationship(s)? If yes, please describe the

relationship(s) and how you feel about them.

How do you feel about your relationship with yourself?

What have you done to improve your health in the last six months?

What will you do in the next six months to improve your health?

Please describe the most intimate moment that you have ever experienced.

When did you first learn about sex? What did you learn?

What is your spiritual path or belief system?

What is your perception of sexuality and spirituality, how do they relate?

How often do you get to be yourself? Do you voice your opinions/follow

your gut feelings?

Approximately how many sexual partners have you had? How do you feel

about this number?

Describe your sexual health. Impotency? Pre-Mature Ejaculation?

Sexually Transmitted Diseases? History of Sexual abuse?

How do you feel about your genitals? Your body-overall?

How often do you self-pleasure? Please describe...

Have you ever given or received anal sex? How do you feel about anal

penetration or male sacred spot massage?

How do you feel about women/feminine energy?

How do you feel about men/masculine energy?

What is your understanding of energy healing, energy flow or the process of energy movement or awakening?

Have you heard about the Kundalini? Do you know about its power of healing? Have you ever experienced a Kundalini Awakening? If so, please explain...

Are you familiar with the connection between the Kundalini and Tantra? Are you willing to explore the pleasures and joys of the Kundalini as well as the powerful healing it offers?

Are you willing to feel love with your Tantric Guide?

What are your reasons for seeking a Tantric Massage/ Intimacy Education?

What are your goals in starting a Tantra path?

Are you presently in therapy? If not and it is suggested you start, would you be willing to take your Tantra Practitioner's advice?

If you are presently in therapy, would you explain your goals with your current therapist?

(Note: If you are currently receiving help with a therapist, please do not stop even if you feel your work with me is powerfully effective and helpful.)

Guidelines For Sessions

I need at least 24 hours notice for cancellations or to re-schedule, however, if you need to change your appointment and it is an emergency and less than 24 hours, call me as soon as you know so we can make different arrangements.

I also need at least one day in advance to schedule an appointment.

I take a couple hours of preparation time before each session. Please respect my time as I am very busy. I expect people to be on time; not early, or late.

Deposits are accepted and can be made through paypal. See blog at http://unfoldingpleasure.blogspot.com for icon and to help you. I can send you a separate email to make this transaction, since the icon on this site is a locked fee.

Sliding Scale

I offer a sliding scale in Bala Cynwyd only. I offer this so that those who cannot afford the higher rate can choose to give what they can, and those who are able to afford more have this choice as well.

Tips

I do not expect tips, but if you desire you may give extra if you can. I also love flowers, candles, organic fruit or vegetables, incense, saris or sarongs, stones and music.

1st and 2nd Level Sessions

1st Level Sessions will cover a Healing Session of Energy Healing, Tantra Shamanic Breathwork, some Tantra practices, Massage, Relationship Counseling, Meditation, Ascension Channeling and more.

2nd Level Sessions will cover Tantra Practices, Tantra Massage of Sacred Spot Massage, Tantric Massage, Kundalini Fire Breath, Rebirthing Massage, also possible is (Thai Yoga Massage,) Shiatsu, Jin Shin Do Bodymind Acupressure (or Therapeutic Massage). See also Levels of Tantra.