Surrender to Love

Private Getaways for Couples

Congratulations for loving each other enough to want to make your relationship amazing! Please take a moment to answer the following questions about yourselves so that I will be prepared to discuss your Private Getaway with you. After completing the enclosed questionnaire, I will be contact you by phone. Please know that all information you provide will be kept strictly confidential.

*First Name:

*Last Name:

Phone: Enter phone numbers as follows: 8005551234

Mobile Phone: Enter phone numbers as follows: 8005551234

*City:

*State:

*Country:

Zip/Postal Code:

Relationship Status:
Married
Dating
Committed Relationship
Widowed
Other

How long have you been together?

Your ages?
and

Do you have children?
Yes
No

Still at Home?
Yes
No

How many?

Ages?

Where would you like Devi to meet you for your Private Getaway?
Your hometown

Vacation Destination
City
State/Provence
Country

When would you like your Private Getaway to take place?

How many days would you like your Private Getaway to be?

Please share any relationship challenges that you may be having?

In what ways would you like your Private Getaway to help your relationship?

Please describe the current state of your sexual relationship?

Are there any sexual challenges that either/both of you are having?
Yes
No

Please share.

Do either of you have a history of abuse of any kind?
Yes
No

Please share.

Is there anything else that you would like to share about yourselves and/or your relationship that would help be to best assist you?

Ask Devi

Devi's online advice column, offering answers to your questions about love & sexuality.

Meditation on Presence

This meditation will assist you in quickly and easily releasing the baggage that we accumulate throughout the day so that you can have a deeper, more meaningful, more pleasurable connection with your love.

Devi's Calendar

Keep up with Devi’s speaking & special engagement tour