Client Questionnaire

I’m honored to work with you!

Wait—not just work with—but co-create this portion of our journeys together!

Before filling this out, I’d like you to read and FEEL these words  ➤ My Evolution is Now.  

In this moment, every part of your body, mind, and soul is in the state of evolution. You are now choosing to be aware of this moment that you get to embody! You are aware: You are consciousness. And the expansion of each of these—is how all healing and personal development, transformation and creation happens. The time is now. It’s always now. 

The path seeks you and you seek it. In what direction will you continue? As far as I’m concerned, we’ve crossed paths now for a reason

There are no “right” or “wrong” answers to the questions below. Share everything that needs to be shared such as your history/background, personality, and anything that is important for me to know in order to understand and support you. Honesty, authenticity, and open communication are foundations of healthy relationships. The more vulnerable you are, the better. Vulnerability is the touchstone of growth, and ALL parts of you are welcome in my realm.

Which gives me the burning urge to mention another foundation of thriving relationships: open-mindedness, curiosity, and compassion. These don’t mean letting each other off the hook or violating boundaries of course. I am a professional dominatrix after all! Given your consent, I will hold you accountable for the changes you want to make—and you have the option to negotiate the style of my demeanor that best suits your growth—so long as it suits mine too. It’s the best of all worlds—I’m caring AF and a ballbuster with the skill to choose which way I express myself. Namaste, and love and light to you! 🪷

For in-person meets: Please inform me of any health issues so that we can plan accordingly. 

For general inquiries, email me at HolisticJuniper@proton.me.