Confidential Consult Request Form for a 1:1 Retreat:

She Who Returns

For Women and Queer-Identified Individuals

A sacred reclamation of self, sensuality, and sovereignty.

Name

First Name

Last Name

Pronouns

Confirm email

How did you hear about me?

Please confirm:

You would like to work 1:1 with Amanda (and you are a woman of any orientation or a queer identified individual).

Why are you interested in this offering?

What do you most want in your life right now in the realms of s3x, love and intimacy?

Please share about any current practices, joys or activities that resource you.

Have you experienced or been treated for severe psychological trauma, abuse of any kind or psychosis? If yes, please specify.

While not necessary, please share if you have any experience in a supportive container centering intimacy, embodiment, or something related, whether 1:1, 2:1, 2:2 or in a group?

I am currently booking in the Pacific Northwest (the Columbia River Gorge), and Upstate New York (Rochester, NY). Which location works best for you?

Pacific Northwest

Rochester, NY

Do you have any limitations or disabilities I should know about?

This offering is an in-depth immersive experience that requires an investment of time, money and energy. Do you have the resources in your life right now to support you should you decide to move forward?

Is there anything else you'd like me to know about you?

Please let me know your general availability and time zone below. I will get back to you within 3-5 days to schedule a complimentary 30 minute call.

request a consult

She Who Returns