New Client Questionnaire 1

Certified Cuddlers New Client Questionnaire   

Name:​ ​Date:​ `  To ensure we are able to customize your session to best suit your needs please tell us a little about you. You will also be  given an opportunity to ask any questions you have before your session begins.     Do you have any special accommodations/requests that may need to be planned for in advance?  

    Do you have any preferences for your session? (​ you are welcome to change your mind at anytime)  Please check all that apply: ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏

no/limited talking  no/limited eye contact  listen to music  professional guides session  My hair/head not touched  limited hand movement by professional  to be held more than be the one holding  seated cuddle options  hugs/standing cuddle options  _____ min notice before session completion 

❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏

start with minimal touch   close (squishy) cuddle poses  start with no/limited touching  no hand holding  dim lighting  bright lighting  I do more talking  read/be read to  watch a tv show/movie (may need advance notice)  Other: _____________________________________ 

 

What do you feel would be the best tone for your session to start with?​ Circle one or more  Silly, Relaxing, Fun, Overcome Fears /Anxieties/ Trauma, Calm, Spiritual, Meditative, Uplifting, Other _________  Is there anything you are uncomfortable with in regards to touch or a session in general currently?  (Such as: Do you have any activations, ticklish spots we should avoid, soreness/pain of any kind, etc.?)        Is there anything the professional should know or you would like to share before the session begins?  (Would you like to be woken up if you fall asleep, medical issues that may arise, emergency contact if needed, any trauma  we should be aware of (verbal explanations are good too), what you hope to get out of your session, etc. )