Application — Emily Athena

Please fill out the application with as much detail as possible.

You will receive the link to schedule your free consultation call after I review your application.

Name

First Name

Last Name

Phone

Country

(###)

###

####

Pronouns

Relationship Status

Profession

How did you find your way here?

Please describe your interest in somatic sexual wellness coaching?

What are your desired outcomes from coaching?

What do you think is the primary obstacle in the way of reaching your desires?

Do you feel ready to commit to weekly sessions plus time for homeplay for twelve weeks?

Yes

Maybe

What support systems do you have in your life? Personal, professional, or otherwise?

Would you like to receive occasional emails with tips on becoming more erotically empowered?

Yes

Is there anything else you would like me to know?