Intimacy Survey

The following survey asks personal questions. Most of the questions you can refrain from answering, however for me to build up a true picture please answer as many as possible. 
Your personal details/answers will not be given to anyone else but the general answers you give may be used by me in the future. 

Please note that I only work with people over the age of 18 and so if you are under 18 please do not continue with this survey.

If you have any questions or comments about intimacy (general or specific) please get in touch with me I am also available for intimacy coaching for individuals and couples.

Thank you for taking part in this survey