Intake Form | Elle Fox

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First name*

Last name*

Email*

Phone*

Occupation or Career*

Age & Pronouns or Gender*

Describe yourself in three words...*

Have we met before?*

Yes, it's been years!

No, I am a New Client

How did you find this website?*

What interests you in working with me?*

What best describes you? (multiple choices, no wrong answer)*

I am here to check things out and will return if/when it seems right

I am hoping to establish regular body care sessions with someone I trust

I am always thirsty for touch and get bodywork on the regular!

This was recommended by another professional

I don't have much bodywork experience

I live out of town and this will likely be a one time opportunity

What resonates with the most interest? (multiple choices, no wrong answer)*

Gentle touch

Pleasure

Relaxation

Surrender and soft submission

Recovery and grief

Connection

Somatic Intimacy is my bodywork style and what most people see me for. You are welcome to induldge in all or just one of my talents...what type of offerings/supports would serve you best when we spend time together?*

Somatic Intimacy Bodywork (oil on skin)

Intuitive Touch (slow, elemental, and extremely gentle)

Sex and Intimacy Education

Recovery (from wounding, purity culture, or health condition)

Conversation (exploration of values, needs, and desires)

Somatic witnessing

I don't know what much of this means but the world is crumbling and I am here to have some fun :)

What else would you like me to know?

Photo of yourself or your business card (yes, selfies with pets are welcome)*

Checking here indicates that you have read through the FAQ Page and the Consent and Discretion Agreement

Just for fun...Take a breath and notice your body before you hit submit. Is there anything worth mentioning? What's one word you would use to describe the sensation you are experiencing right now?

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elle fox

38th & Chicago Ave, Minneapolis, MN
612-205-7307

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