Confidential Intake 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.