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Welcome to Closeness Coaching. I’m Tari, San Diego’s #1 Rated Sex, Intimacy and Relationship Coach.  If you’re looking for sexual guidance, intimacy or relationship support, you’ve come to the right place.  

 Below is an optional intake form. None of the questions are mandatory, but clients often find that filling it out helps them clarify what they’re looking for. 

 If you don’t know an answer, please take a moment to reflect on it before moving on.  If you don’t feel comfortable answering, simply leave it blank. To move to the next field press tab on a computer or tap the down arrow or next on your mobile device.  

Your answers are confidential, and this form is never shared with your partner. However, given the nature of the help you are seeking, it is likely we will discuss these subjects in session together. If there are any topics or answers that are off limits, or you prefer to keep between us, you can state this in the consent section on the last page of the form.  

When applicable, please have both partners fill out this form individually. 

Congratulations! You are about get real help for one of the most sensitive parts of your life. Siting down with me is next, and I’m highly competent at making this whole experience feel comfortable, safe and even fun for everyone involved. I’m looking forward to meeting you in person. 

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Closeness

4455 Murphy Canyon Road
Suite 206
San Diego CA 92123

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805.427.3162

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