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evenings and weekends by appointments only
julie@theembracespace.com
1707 S. Oneida St Appleton WI, 54915, inside the UR Harmony Building
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Alternative & Holistic Health Service.
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Services
Cuddle Therapy
Blogs
About Us
Code of Conduct
FAQ
Contact Us
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Book Your Session
Client Intake Form – The Embrace Space by Jules
Full Name
Preferred Name (if different)
Email
Phone Number
Preferred method of communication (text/email/phone):
Text
Email
Phone
City & State (for scheduling/location)
What brought you to cuddle therapy at this time in your life?
Have you had any experience with professional cuddle therapy or similar services before?
Yes
NO
If yes, how was the experience?
What are you hoping to gain or feel from our sessions together?
Are you currently working with a therapist or other mental health professional?
Yes
No
If yes, are they supportive of you trying cuddle therapy?
Are there any emotional challenges (grief, loss, anxiety, trauma, etc.) you’d like me to be aware of?
Is there anything that might emotionally overwhelm or trigger you during a session? If so, how can I best support you?
Are there any types of touch or areas of the body you do not want to be touched
Are you comfortable communicating your needs and boundaries during a session?
Yes
No
I’d like to talk more about this
Any allergies or sensitivities (e.g., scents, fabrics, pets) I should know about?
Any medical conditions, mobility issues, or physical limitations I should be aware of?
Are you comfortable with my current rate, cancellation policy, and session location?
Yes
No
I’d like to discuss this
Do you have any additional questions, concerns, or anything you’d like to share before we schedule our session?
Submit