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Pleasure Liberation: Sexuality
Assessment Questionare

1. How would you rate your comfort level with learning and sharing about your sexuality in a group setting?
2. How comfortable do you feel with being witnessed by others in your healing and growth process?
3. How connected do you feel to your sexual desires, fantasies, and turn-ons?
4. How comfortable do you feel voicing your erotic desires and needs with others?
5. How comfortable do you feel with discussing consent, boundaries, and power dynamics in sexual contexts?
6. How comfortable are you with giving erotic pleasure to others?
7. How comfortable are you with giving erotic pleasure to yourself?
8. How comfortable are you with receiving erotic pleasure from others?
9. How playful and creative do you feel in your erotic life?
10. How connected do you feel to your body as a source of pleasure and wisdom?
I’m available for our weekly group sessions at the following times: (Please check all that could work for you. The more flexibility, the easier it is to find your ideal group match.)
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Thank you for taking the time to reflect and share so openly. I want to honor the courage it takes to begin this work. Completing this form is an act of saying yes to yourself, your body, and your liberation.


Your responses help me thoughtfully shape each Pleasure Liberation group, ensuring that participants are paired in ways that best support psychological safety, diversity of experience, and collective growth.


Thank you for your presence and your trust in this process. I can’t wait to welcome you into the circle and witness the unfolding of your journey.


Sending All My Love,

Dr. Nicole

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