Female Client Information Form

May 17, 2021 I am currently seeing clients. I am now fully vaccinated and I am starting with clients who are also fully vaccinated. I understand not everyone can or wants to get the vaccine. As long as covid cases continue to decrease I will eventually work with everyone. You do not need to wear a mask in my treatment room but I do ask that you wear a mask coming and going from my treatment room.

My Sacred Space is in private home spa in Loma Linda, CA 92354

If you would like to schedule any massage or spa session please fill out the Client Information Form below.

Before scheduling a session please read at least the following 5 pages 1. What is a Tantric Massage, 2. Q&A, 3. Before, During and After Your Session  4. The Healing Power of the orgasm and 5. Different Massages and Services Offered on this site. This will give you a better idea of what to expect, what I offer and what I don't offer.

When you schedule a session that time is reserved for you. I often have regular clients or new clients who would like the same day and time that you have reserved and I have to schedule them for a latter day. I understand circumstances happen and you may need to cancel and reschedule. If you book a session and No Show I will not schedule you again. I do charge for missed appointments with less than 24 hour notice. This is courteous to me and my other clients who would have liked or needed that same time, just as you deserve and should expect the same courtesy. Please be on time or even a few minutes early. I try to allow at least a half hour in between clients so your sessions is never rushed and if we need to run a little long we can. If you are running late or know you are going to be late please let me know. If I do have someone already scheduled after you then your appointment may have to be cut a little short depending on how late you are. If I do not have anyone right after you I will work with you the full time you have scheduled but that may be rare.

My Hours: I am most available weekday mornings and early afternoons. I do work a a few weekends but I need a break and self-care as well.

The first times listed below are when I start with my first client of the day and the last time is when I start with my last client for the day for a 2 hour session.  If you want a longer session then it would need to be earlier, if you only want a 1.5 hour or 1 hour session I can start a little later. I like to be done by 7:00 pm clients at the latest. When I finish at 7:00 by the time you get dressed, pay, reschedule and I clean the room it's after 7:30 and I can't eat dinner before 8:00pm. Also when I start at 10:00 am that is a long day

Mondays 10:00 am - 5:00 pm
Tuesdays 10:00 am - 5:00 pm
Wednesdays 10:00 am - 5:00 pm
Thursdays 10:00 am - 5:00 pm
Fridays 10:00 am - 4:00 pm
Weekends (usually Sundays) 11:00 am - 2:00 pm

2 Hour Sessions: $150
2.5 Hour Sessions: $185
3 Hour Sessions: $220

Thank you,
Daniel

Client information form

General Information

* Indicates required field

Name *

First

Last

Email *

Phone Number *

What is the best way to contact you? *

Email Text Call

What city are you coming from? *

How did you find my web site? *

A Friend Fetlife Web Search Other

If referred by a friend please list who. *

If Fetlife Please list your Profile Name *

If web search or other please list search words or other means. *

Please list the date(s) you received your covid vaccine. Please remember to bring your vaccine card with you. *

If we have not already scheduled a session for you what days and times are best for you? *

Weekday Mornings Weekday afternoons Weekday Evenings Weekends

My Hours are:
Mondays 10:00 am - 5:00 pm
Tuesdays 10:00 am - 5:00 pm
Wednesdays 10:00 am - 5:00 pm
Thursdays 10:00 am - 5:00 pm
Fridays 10:00 am - 4:00 pm
Sundays 11:00 am - 3:00 pm

Do you have a specific Day and time you would like? Please list it with any options you have available. *

Please answer as honestly as possible. You will never hurt my feelings, offend me or shock me in anyway. I understand everyone is different and I only want to know more about you so I can make your experience the most pleasurable and positive experience possible. Some of topics we may have talked about if we have already spoken on the phone or through email. If we have already discussed some of these questions please go ahead and answer them again for me. If there is anything you are not comfortable answering or experiencing just please let me know. There is no one way a Tantric Massage has to be done. It can always be altered to fit your comfort level, needs and desires. You may also change your mind at any time. If you decide you want to change or add something to the session just let me know, and if you feel you are not comfortable or ready to experience something please just let me know. Every session can and probably will be different. You are always in control of what you experience and how therapeutic, sensual or sexual (never intercourse) each session is. While it is good to stretch our comfort level and explore new things, you will always receive the most benefit when you explore at a rate that suits you best.

1. Do you have any allergies or sensitivities to any oils, lotions or scents? Or any scents you do not like? *

Yes No

If yes please specify: *

2. Are you generally: *

Hot Cold Neither

3. Your date of Birth? Please give Date/Month/Year *

4. What is your Occupation? *

If Married or Attached does your spouse or partner know you are coming for a Tantric Massage? I do not judge either way, this only helps me to understand your needs and circumstance. *

6. Do you have Children? *

If so how many and their ages? *

7. Have you had any Miscarriages or abortions? If so how many and at what age(s) *

8. Any history of Sexual Abuse? *

9. Do you have any health problems or conditions I should know about? *

11. Do you experience: *

13. Are you on HRT (Hormone Replacement Therapy) *

Yes No I think I should be Yes but with natural supplements only

If so what are you taking? *

Therapeutic, Sensual & Tantric massage

1. Is there anything off limits or that you do not enjoy having massaged or touched or that you don't want to experience? Are you ticklish anywhere or self conscious about any part of your body? *

2. Please understand that the Tantric Massage involves a Yoni Massage. (Yoni translate into Sacred Space or Divine Space referring to the Vagina and I will be massaging outside and inside your yoni with my fingers only.) It also deals with building the sexual energy to the point of orgasm although you may not always orgasm and that is not the benefit or reason for receiving a Tantric Massage. If you do not want the Yoni Massage that would then be the Natural Massage. Please list if you want a Tantric or Natural Massage. *

3. Please tell me if you have any certain injuries, or areas you want specifically worked on. Also what goals you would like to achieve from receiving a Tantric Massage (like do you want to learn to orgasm more easily or have more intense orgasms that last longer, do you want to use orgasmic energy for healing and improving your health, are you wanting a deeper spiritual experience or just for the pleasure of receiving a Tantric Massage?) There is no wrong or better answer. Everyone is different and have different reasons for wanting to experience a Tantric Massage. What would you like to experience and what do you not want to experience? Please add any information you think I may need to know to assist you in obtaining your goals. *

4. Do you have any experience with Tantra? Have you ever received a Tantric Massage or any kind of massage or body work? *

5. Tantra can be many different things to different people. Would you like to focus to be more? *

Spiritual Sensual & Receiving Sexual & Pleasurable All of the Above

6. Are you comfortable being completely nude during your session or do you prefer to start off with a sheet for draping? *

7. I am nude during the massage and I work very close to the table and sometimes even on the table. There will be body to body contact. (my legs, arms, chest, butt and even groin and lingam will be coming in contact with your body, arms, hands, chest, neck, shoulders stomach, legs butt and maybe groin.) sometimes even a lot of body to body contact especially with the Tantric Thai Massage. The benefits to body to body, skin on skin contact are: We release more hormones and neuro-peptides from skin on skin contact. It adds to the sensual experience and helps to build the sexual energy and overall experience. You may touch me anywhere on my body whenever I am in easy reach. I enjoy sensual touch but I do not want you to feel you have to reciprocate in any way. You may touch me only if it adds to your pleasure and experience. The massage and time is for you and you only. If I move away it is only because I need to move to continue the massage and you are welcome to touch me again when I am back in reach again if you desire. Once again while I do very much enjoy feeling a woman’s touch this session is for you alone and you are welcome to do anything that will add to your pleasure and experience or not do anything that will distract or take away from your pleasure and experience.* *

A. Limit body to body contact as much as possible B. I am comfortable with body to body contact C. I would like to experience as much body to body contact as possible. D. I don't know what I am comfortable receiving

7 a. List any areas or parts of your body that you do NOT want body to body or your body to lingam contact. *

7 b. List any areas or parts of your body that you would enjoy body to body contact and body to lingam contact. *

8. a, If other please list *

8. b. Is one breast or nipple more sensitive (in a pleasurable way) then the other? It is very common for either the right or left breast/nipple to be a little or even a lot more sensitive than the other side. *

9. Do you experience *

A. Vaginal dryness B. Wet when aroused C. Extremely wet when arouse D. Wet all the time

11. Generally do you?: Pick any that apply *

A. Orgasm easily B. Takes what you feel is an average amount of time and stimulation to orgasm C. Have a difficult time achieving an orgasm D. Have never achieved an orgasm

12. When you do orgasm, you? *

A. orgasm multiple times one after another B. more then once but it takes a little time in between each C. once and then you are super sensitive afterward and done D. Orgasm and still horny E. Need to orgasm more than once or several times F. Have never orgasmed

If J or K. Please describe / Or add any detail you would like. *

14. During the massage session and especially the Yoni massage there is usually some anal stimulation at the same time as vaginal or clitoral, or a complete anal healing massage, are you comfortable with: *

A. Light touch on the outside of the anus B. Massaging on the outside of the anus C. Massaging on the inside of the anus

15. Do you or have you ever ejaculated? (squirted) *

Other: *

17. Please give a short description of how you would like these areas to be touched or stimulated and if you have any limits or boundaries with any of them. *

18. I would like for this session to be: *

20. How expressive are you while receiving sexual pleasure and/or during orgasm? Check all that apply *

20. a. If you enjoy dirty talk what kind of things do you enjoy hearing and/or saying? Do you want sensual things whispered into your ear? If so what? *

21. Do you have any other limits and boundaries you would like to list and/or anything you would like to request for your session? Mine only limit is I do not have intercourse but I am open to anything else. You may touch or do anything to my body throughout the massage if you like. The only limit to that is I do not want you to do anything because you feel you need to reciprocate in anyway. It must be completely for your pleasure alone. Also please do not feel embarrassed or ashamed to ask for anything. This is your session and you may experience anything you desire other than intercourse. *

22. I understand that this is a spiritual practice and experience. I am not paying for sex and there is no intercourse during a Tantric Massage. I understand that as a Tantric spiritual practice every part of my body will be massaged, including my yoni and breast, to release blockages, and regain circulation, energy and balance. This is a sacred practice that has been done for thousands of years and I desire to experience this tradition. *

I agree I disagree

If you have any questions please feel free ask anything. There are no silly question and nothing to ever be embarrassed or ashamed to ask. Take your time and just answer as honestly as possible. You cannot offend surprise, shock me, or hurt my feelings in anyway. I will not judge you in any way for any of your answers and I do not take anything personally. This session is for you and has nothing to do with me. I only desire to assist your mind, body and spirit in regaining balance and in assisting you in learning to just receive, be present and enjoy the moment to its fullest.

Thank you,

Daniel

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