Sexuality Enrollment | Modern Anarchy

Pleasure Liberation: Sexuality
Enrollment Form

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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?

What do you hope to learn, feel, or reclaim through this sexuality group experience?

This group will require a meaningful time and energy commitment. How do you plan to make space in your life for this part of your healing journey?

Is there anything else you’d like me to know as I review your responses?

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 perfect group match.)

Wednesdays 4-6pm CST

Saturdays 10:30-12:30 CST

By signing below, I confirm that I have read and agree to The Pleasure Practice Terms & Conditions available: here.

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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.

To complete your enrollment, please submit your deposit below to secure your space in this upcoming cohort. Enrollment is limited to six participants per circle and operates on a first-come, first-served basis. Once your deposit is received, your space will be officially reserved, and I’ll personally reach out with next steps to schedule your one-on-one session and prepare you for the journey ahead.

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

Pleasure Liberation Enrollment Deposit

$500

Pleasure Liberation: Sexuality Enrollment Form

Pleasure Liberation: Sexuality
Enrollment Form