Sensual Being: Cohort Intake — Ev'Yan Whitney, Sexuality Doula®

Sensual Being
Intake Form

Welcome to Sensual Being! I’m very excited to be in space with you and your sensuality.

Fill out this form to complete your registration. This helps me get to know a little about you and prepare for our time together. Please aim to submit this by Tuesday, June 24.

Name

First Name

Last Name

Email

Pronouns

Where do you live?

Town/city, state, country

In 3-5 words, please describe the relationship you currently have with your body and pleasure.

Have you ever practiced somatics or body-based therapies before?

You don't need to have prior experience to be in this course. This is just helpful for me to know to prepare for our time together.

Name some of the body-based or sensual practices you regularly engage in.

Examples: Yoga, dance, meditation, time in nature, etc.

What do you hope to get from taking Sensual Being?

Do you have any access needs you'd like me to know about?

An access need is anything that would help you participate fully in this course.

For this course, we will meet Thursdays at 5:30pm-7:30pm Pacific time starting June 26 through August 14. Full participation is important for the cohesion of the group. Can you commit to attending to most of the sessions?

Yes, I intend to join all 8 sessions

I will need to miss one or two sessions, but I'll let you know in advance

No, I will need to miss more than two sessions

Anything else you'd like me to know?

Sensual Being Intake Form

Sensual Being
Intake Form