Application for session work with Paloma

Name: *
Phone:*
-
E-mail:*
Age:*
What are your biggest challenges when it comes to sex, love, intimacy and relationship?*
What have you tried to do to resolve the issue?*
How did that work for you?*
What is not resolving the issue costing you?*
How much longer are you willing to deal with the issue?*
What would your life be like if you had what you wanted?*
On a scale of 1-10, how committed are you to having what you want?*
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