Please provide the following information and answer the questions below. If anything does not apply to you simply write N/A or leave blank. Feel free to skip any questions you are not comfortable answering or place a star next to anything you would like to talk about but do not want to write down.
The Process
Sex and Relationship coaching can be helpful in improving overall health, wellbeing, and quality of life. Engagement in services is a collaborative process that requires a significant commitment of time and energy. Progress depends on many factors, including the nature and severity of the problems being addressed, life circumstances, and motivation. Regular meetings over time, as recommended by Nicole, in addition to following through with recommendations of Nicole will lead to the greatest chances of achieving your treatment goals. Coaching works best when you are willing to share openly and explore with Nicole the feelings, thoughts, and experiences that arise over the course of our work together. This includes what you have noticed about the progress of your sex/relationships, feedback for Nicole around what is and is not working and what you would like more of, and any concerns you may have about our work together. At times, this may involve pushing your comfort zone, but generally results in better outcomes and a greater connection and alliance with Nicole.
I, the undersigned client, understand and consent to participate in sex and relationship coaching provided by The Pleasure Practice LLC. I understand that coaching is a collaborative process to explore and address personal, sexual, and relationship issues. Coaching is not a substitute for psychotherapy or medical treatment. I understand that the coaching relationship is not a therapeutic psychotherapy relationship, and Nicole will not provide a diagnoses, psychotherapy, or treatment plans.
I understand and agree to the fee structure and scheduling arrangements as discussed. I will make payments as agreed upon and adhere to the cancellation policy of 24 hours notice or full payment will be charged. By signing, I agree that my credit/debit card can be charged to pay for services.
I understand that coaching is most effective when I actively participate, set goals, and communicate openly about my expectations, progress, and concerns. I will take responsibility for my own decisions and actions. The Pleasure Practice LLC neither warrants nor guarantees any particular results or outcomes from any coaching provided to you.
Either the client or The Pleasure Practice LLC may choose to terminate the coaching relationship at any time for any reason. If The Pleasure Practice LLC determines that coaching is not appropriate or effective for the client's needs, Nicole may recommend other resources or referrals.
I have read and understand the information provided in this consent form and the coaching terms. I agree to participate in sex and relationship coaching with The Pleasure Practice LLC. I understand that coaching is not therapy or counseling, and I am voluntarily seeking coaching to address my personal and relationship goals.
Credit card information will be retained by The Pleasure Practice. You will only be charged at the time of service.
Thank you for providing your information. We will explore your responses these questions during your first session. Please reach out should you have any questions.
