First Name *

Last Name *

What are your pronouns?

Date of birth *

State *

Email *

Phone *

Describe in detail what your hoping to experience by working with brii? *

What does your sex drive, sex life, and relationship look like now? *

What are you hoping will happen with your sex life and relationship by engaging in coaching? *

What does your partner's desire look like? *

More Desire Than Me

Same Level of Desire As Me

Less Desire Than Me

Not Applicable

Are you experiencing any mental health challenges right now that would make working on a deep level in this program, difficult for you? *

Don't hold back, I want to know it all! And the more I know the more I can determine if working with me is the perfect fit for you.The program requires you to work holistically with your sex drive.

This means we’ll address your relationship with sex, your relationship/marriage, emotions, and thoughts.

Eg: ongoing depression that you're not treating, PTSD, or extensive difficulties with anxiety? Please know previous mental health challenges do not disqualify you - I just want to make sure my expertise is the best fit for you. All your answers are, of course, completely confidential.