Tantra Healing for Couples

Intake Form

The form below consists of a series of questions designed to help us (Dr. Erickson and Devi) assess how we can best support you during this course and help you achieve your desired outcome from this course.

You are not obligated to answer all or even ANY of the questions.

If you choose to answer these questions please know that your answers will be reviewed by Dr. Erickson and Devi ONLY unless you request additional support sessions with another instructor. At that time you may give consent for these answers to be shared with your support coach if you desire. Please submit your answers no later than September 10th at 11:59pm in order to be reviewed by us by the first class. Thank you!

Tantra Healing for Couples Intake