"About You" - Questionnaire

I would like to learn something more about you.  Please answer all the questions below:

Before continuing with this form, please confirm: "I have read "Tantra With Tanya - Introductory Information" and at least Sessions One, Three and Seven of your Tantric program 'Tantra: The Art Of Sacred Sexuality"   Yes  (If you have not, please do so before submitting this questionnaire.)

First and Last Name:           E-Mail:

City:     State:      Occupation:  

Home Phone:   Cell Phone:    Age:  

 

I am located and teach in San Diego but plan to do some travelling.  Please let me know what cities you would like to be notified about if I visit them.  Even if I am not going to your city, I may even be able to do a stop-over if it is on the way to a destination that I am headed to.

Location you would like me to travel to:
                    

And, if you have alternate locations please indicate:

If you are not able to see me but want to be informed if I come your way, you can choose as to whether you wish to fill out the whole questionnaire now or closer to the time we meet.  In either case, please fill out all the information above and let me what you are looking for (choices A to E) below.

Choose what you are most looking for in meeting with me from the list of choices A, B, C, D, & E.  Feel free to discuss your choices or to chose several and describe your priority rating of them.

If you choose option A, you are choosing one hour Tantra Massage or a longer Tantra Experience where the focus will be on an agenda-less experience of Tantra,  If the Tantra Experience is your primary interest you have the option of a one and a half to three hour Tantra Experience.

If you choose options B, C, or D, you are choosing a Tantra Mastery Session where the focus is on developing the specific Tantric skills and consciousness that will enable you to excel in the topic of that session.  Such sessions are three and a half hours or longer for the first session and usually three hours or longer for subsequent sessions.  In certain circumstances, but never in the case of the Ejaculation Mastery/Full Body Orgasm session, a two hour session is possible.  Option D will also be appropriate to a Tantra Experience session, where you will experience Tantric energy, but not to the same degree as a Tantra Mastery session, where you learn to master it.  Option A will also be experienced in a Tantra Mastery Session.

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Please choose one or more options below:
A.  A sensual, pleasure oriented experience that will
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B. To learn new sexual skills and actualize your sexual potential.
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C. To overcome a sexual problem.
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D. To experience the union of your sexual and spiritual energies and to learn Tantra, both as a spiritual and a sexual path.
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E. Something else (Please say what it is)    

Please indicate your preferred length of time:  

What is you relationship status?  Do you have a girlfriend or wife?  If you do, please tell me about this relationship.  What is working?  What is not? Would your partner be interested in learning Tantra with you?

How you would describe yourself from a spiritual perspective?  Do you have any background in Tantra? Have you seen any other Tantra teachers who are up on the web?  If so, please describe what you have learned.  Are you, or have you been, involved in meditation, yoga, or any other form of spiritual discipline?  Have you done any personal growth experiences in the form of workshops or trainings? 

How you would describe yourself from a sexual perspective?  Please tell me about any sexual problems and concerns that you would like me to attend to? If you have problems with getting an erection, in having an orgasm, or in feeling sexual desire, please tell me about it.  If you have a problem with the size of your penis, big or small, performance anxiety of any kind, or difficulty in getting aroused without involving fantasies that you would rather not have, please let me know about it.

When you have intercourse, typically how long do you last from the time you enter until the time you ejaculate?  If there is a range, give me the low and high end of the range and the most frequent or typical length of time.

Do you have any physical or sexual health problems?

I would like to know what draws you to Tantra.  How can I best serve you?

What website did you find me on?      

Do you have any reservations about learning Tantra?  If so please say what they are.

Do you have any questions that you wish to ask me?  If so please let me know what they are.

When do you wish to see me?   

Comments:   

 

 

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