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 hoping to establish a bodywork routine

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 are you most interested in?*

What type of offerings/supports would serve you best when we spend time together?*

Bodywork (oil on skin)

Intuitive Touch (slow, elemental, and extremely gentle)

Sex and intimacy education

Exploration of safety, values, and needs

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?

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

I have read through the FAQ and Consent pages

I have completed the required intake form

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

sacredconnection00@gmail.com

Sacred Eros

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