TANTRA CLIENT - INTAKE FORM
Welcome
Welcome, and thank you for choosing to share this experience with Sanctuary of Self.
Whether this is your first introduction to Tantra or you have explored these practices before, my intention is to provide a safe, respectful and professional environment where you can slow down, reconnect with yourself, and experience the profound benefits of conscious touch and presence.
Before your session, I ask that you carefully read the information below and complete the intake form in full. This allows me to better understand your individual needs and ensure your experience is as safe, comfortable and supportive as possible.
What to Expect
Every Tantra and An Mo Massage session is unique and tailored to the individual.
Sessions may include conversation, breath awareness, meditation, grounding practices, mindful movement, conscious touch and traditional An Mo Massage techniques. Depending on your intentions and what arises during the session, practices may vary.
You are encouraged to communicate openly throughout your session. Your comfort, wellbeing and sense of safety are always prioritised above the process itself.
Scope of Practice
As an internationally certified Tantra Practitioner and Teacher, certified Clinical Hypnotherapist, Strategic Psychotherapist, NLP Master Practitioner, Past Life Regression Therapist, and trauma-informed practitioner, I work within the scope of my professional training and experience.
Tantra and An Mo Massage are complementary wellbeing practices designed to support relaxation, nervous system regulation, body awareness and personal growth. They are not intended to diagnose, treat or cure medical or psychological conditions and should never replace medical, psychological or psychiatric care.
Where appropriate, I may recommend that you seek support from another suitably qualified health professional.
Boundaries & Consent
Sanctuary of Self is committed to providing a professional, ethical and respectful environment for every client.
All touch is offered with clear therapeutic intention and only with your informed consent.
You are welcome to pause, modify or decline any practice at any stage of your session without explanation or judgement. Consent is an ongoing conversation and may be withdrawn at any time.
Likewise, I reserve the right to pause or immediately terminate a session if I believe professional boundaries have been crossed, if behaviour becomes inappropriate or disrespectful, if instructions regarding consent or safety are not followed, or if continuing the session would compromise the wellbeing of either party.
No refunds will be provided where a session is terminated due to inappropriate conduct or breaches of these boundaries.
Your Wellbeing
Please ensure you disclose any relevant medical conditions, injuries, allergies, medications, recent surgeries, pregnancy or other health concerns within your intake form.
Providing complete and accurate information allows your session to be adapted where appropriate and helps minimise unnecessary risk.
If your health changes between submitting this form and attending your appointment, please notify me before your session begins.
Confidentiality
Your privacy is important.
All personal and health information collected is treated confidentially and stored securely in accordance with applicable Australian privacy legislation.
Information will not be shared with third parties without your consent unless required by law or where there is a genuine duty of care to protect your safety or the safety of another person.
Client Agreement
By submitting this form you acknowledge and agree that:
• The information you provide is accurate and complete to the best of your knowledge.
• You understand the nature and purpose of Tantra and An Mo Massage.
• You understand these sessions are complementary wellbeing practices and are not a substitute for medical or psychological treatment.
• You accept responsibility for communicating your comfort levels, physical limitations and any changes to your health.
• You understand that consent may be withdrawn by either yourself or your practitioner at any time.
• You understand that your practitioner reserves the right to refuse or discontinue a session where it is considered unsafe, inappropriate or outside their scope of practice.
• You agree to participate voluntarily and accept responsibility for your own physical, emotional and psychological wellbeing throughout the session.
Thank you for taking the time to complete your intake. I look forward to welcoming you into the space.
Once you have completed your intake form, you can purchase your session/s below.
After your booking has been received, Jen will contact you via email to arrange a suitable date and time for your appointment.
Payment is required to secure your booking. No appointments will be held without payment unless otherwise arranged directly with Jen.
Cancellation & Refund Policy
Please ensure you are committed to your booking before purchasing.
All bookings are non-refundable.
Appointments cancelled or rescheduled with less than 24 hours' notice will be forfeited.
Sessions are non-transferable and cannot be transferred to another person.
Bookings must be made by and for the person attending the session. Bookings cannot be made on behalf of another individual, including a partner, spouse, family member or friend (unless it is a couple’s session).
If you are running late, please let me know as soon as possible. Your session will still finish at the scheduled time to avoid impacting subsequent appointments.
In the unlikely event that Sanctuary of Self needs to cancel your appointment, you will be offered the choice of rescheduling or receiving a full refund.
Please click ‘View Options’ to select the session/s that’s best for you. If you have any questions, please reach out via the contact page.
Please ensure you’ve had your intro call prior to booking a Tantra session!
A deeply personalised one-on-one or couples experience designed to support self-awareness, embodiment and nervous system regulation through the principles of traditional Tantra.
Each session is tailored to your individual intentions and may include guided conversation, meditation, breathwork, awareness practices and conscious touch, where appropriate and with your ongoing consent. Every experience is unique, meeting you exactly where you are on your journey.
Whether you are seeking greater connection with yourself, deeper intimacy in your relationship, emotional integration, personal growth or simply an opportunity to slow down and reconnect, this is a space to be fully met with professionalism, compassion and respect.
Your wellbeing and sense of safety are always the priority, with clear boundaries and consent upheld throughout every session.
Session Duration: approx 90 minutes to 2 Hours
Location: Sanctuary of Self, Capalaba, Queensland. Address will be emailed upon confirmation of booking.
Please note: Your appointment date and time will be arranged directly with Jen after your booking has been received. Full payment is required to secure your booking.
Tantra sessions are complementary wellbeing practices and are not intended to diagnose, treat or cure medical or psychological conditions, nor replace advice or treatment from a qualified healthcare professional.
Important: All new clients are required to complete the Client Intake Form prior to their first appointment. For couples' sessions, each participant must complete a separate intake form. Sessions cannot proceed until all required forms have been submitted.