New Client Questionnaire

Please fill out the following form prior to your first appointment or consultation so that I may have a complete picture of your needs and desires.

Then, you may book a phone consultation with me for $33

Please provide complete, accurate information.

First & Last Name

Phone

City

Birthday

Email

Dates and Times Requested

Gender (check all that apply)

Man

Woman

Non-Binary

Trans

Other (please tell me!)

Sexual Orientation

Straight

Bisexual

Gay/Lesbian

Pansexual

Discovering

Energy Attraction (check all that apply)

Masculine

Feminine

Relationship Status

What healing tools have you had experience with so far?

What are your goals in working together?

Do you have any health concerns?

Preferred method of contact

Which services are you inquiring about?

What challenges do you face currently?

Personal Message

I understand that government issued ID may be required for in-person sessions.

Thanks for submitting!

Disclaimer: Danny Lion is not a licensed psychotherapist, massage therapist, or health professional. All claims made on this website or during services are based on Danny's personal journey and research. Danny is in process of obtaining certification as a Tantra Teacher. All services are meant to be educational and are not intended to treat or cure any medical or psychological condition. For health and psychological concerns, these services should be used in conjuction with a licensed health professional.

This website makes no claims to provide services that are not in compliance of local laws.

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