Client Information Form

Thank you for taking this important step.

Whether you’ve reached out via email, booked an insight session, or are a returning client preparing for our upcoming call - I appreciate your commitment to making real progress.

Before we begin working together, I need some essential details about your situation. This comprehensive form helps me tailor our time to your unique needs, so we can focus on what matters most — achieving results.

Please complete the form now so we can hit the ground running.

Give your personal life the attention it deserves!

A Beautiful Encounter...

"I used to ejaculate within seconds of penetration...


My partner and I had tried everything - from a Urologist to a tantric master, the stop technique, the squeeze technique, therapy with a sex therapist and treatment from another world renowned sex therapist.


Every treatment I followed was really expensive and did not lead me anywhere...


Then we found Jacqui's website... Jacqui was confident she could solve my problem - and she did!


We had a beautiful encounter that lasted around 40 minutes and in a really good pace.


I was so happy and so was my girlfriend. I'm still making lots of progress thanks to Jacqui."

Nick, United States*

Many have found breakthrough results through my method.

You can too — and I’d love to help you get there.

"Within 10 minutes of applying her technique I could already feel my libido switching back on! And now I can orgasm more easily too! ...we both feel increased desire for each other."

- Nikki, New Zealand*

Increased desire

"This is definitely a good program because it teaches how the mind works. Something I’m sure most of us know, but don’t understand how it affects our sex life. It all makes sense now!

- Josh, UK*

It all makes sense now!

"I want to say thank you for your help... I spent this last weekend with my girlfriend and everything went great... It helped my confidence greatly to know that these techniques are working."

- Patrick, USA*

Helped my confidence

© Jacqui Olliver and the Life Education Initiative. All Rights Reserved. DMCA protected. Content on this website is for information purposes only and is not intended as a substitute for medical advice. *Results vary from person to person.