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Confidential Questionnaire | Tantric Journey
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Do you suffer from or have you suffered from any of the following?

Allergies
YesNo

Epilepsy

Heart Problems

Headaches

Heyfever

Blood Pressure Problems

Depression

Back Problems

Have you had any serious illnesses/operations/psychiatric Treatment/counselling or any other therapies over the last five years?

Have you suffered any sexual traumas?

Have you taken any antidepressants?
YesNo

What would you like to achieve from Tantric Journey Sessions?

Help with sexuality

Help with intimacy

Help with love

Find life long partner

Improve existing relationship

Related Stresses of life

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Stress Symptoms

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Questions

Have you had a massage before?

What Massage movements do you like?
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Would you like a female chaperone to be present during the treatment?
*Female chaperon is only available during weekends and weekdays after 6pm with 48 hrs notice and an extra payment of £50

Are there any particular areas in the body that you need to receive more attention?

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Are there any particular areas in the body that you want to AVOID in the massage?

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I am proceeding with the session fully aware of what the treatment involves

Whilst many clients have had positive outcomes from Emotional Detox sessions, this modality has not been subject to scientific evaluation, therefore no scientific claim is made that Tantric Journey results in emotional healing. Significant positive change is often seen but cannot be guaranteed

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