A Bravenet.com Contact Form

Name *

Email Address *

Phone : *

Age : *

How did you hear about Dr Rylie?

What is your interest in Tantra? *

Have you ever had a Tantra session? If yes, please describe it.

Do you have any Prostate Issues?

Have you ever had a Prostate Massage? Yes No

Have you read the information on the website? Yes` No

Do you understand the difference between The Yoni, The Lignam, The Sacred Spot Prostate? Yes No

Additional info you would like Dr Rylie to know

Are you interested in regular sessions? Yes No

Which location would you like?

When would you like an appointment date_range

Preferred Day For Your Session