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Nurturing Touch

Intake form

(480) 331-1428 · nurturingtouchaz@gmail.com

A short form before a first session. There are no wrong answers, and anything you would rather say in person you can leave blank.

Nothing you type here is stored on this website. Emailed, it goes from your own email app straight to my inbox. Printed, it never touches email at all. What I keep afterward, and for how long, is on the privacy page.

Read the boundaries first
About you

mm / dd / yyyy

Have you had a session like this before?
The session
Which session
How long

In your own words.

How you would prefer me dressed, if you have a preference
Health & safety

Only what affects what is safe to do. This is not a medical record and it is not kept.

Oils and gels are used throughout — nut oils especially matter here.

Touch & comfort
Pressure you tend to prefer
Draping — entirely your choice, and changeable at any point

No reason needed. "Not there" is a complete instruction.

Nerves are extremely common, particularly the first time, and worth naming.

Boundaries

These are absolute and are never tested. Mine are on the boundaries page.

By signing below you confirm:

  • I am 18 or older.
  • I have read the boundaries & etiquette and the terms.
  • I understand that intercourse and oral sex are not offered, and are not available at any price.
  • I understand I can pause or end the session at any moment, without giving a reason, and that the fee is unaffected.
  • I will arrive freshly showered.
  • What I have written here is accurate as far as I know.

Type your full name to sign.

Two ways to get it to me

Emailing opens your own email app with your answers already written out — read it over, then send it yourself. Printing keeps it on paper, which is the more private of the two. Nothing passes through this website either way.