Certified Cuddlers New Client Questionnaire 

Name:​ ​Date:​ ` 
To ensure we are able to customize your session to best suit your needs please tell us a little about you. You will also be 
given an opportunity to ask any questions you have before your session begins.  
 
Do you have any special accommodations/requests that may need to be planned for in advance?  

 
 
Do you have any preferences for your session? (​ you are welcome to change your mind at anytime) 
Please check all that apply:
❏ no/limited talking  ❏ start with minimal touch  
❏ no/limited eye contact  ❏ close (squishy) cuddle poses 
❏ listen to music  ❏ start with no/limited touching 
❏ professional guides session  ❏ no hand holding 
❏ My hair/head not touched  ❏ dim lighting 
❏ limited hand movement by professional  ❏ bright lighting 
❏ to be held more than be the one holding  ❏ I do more talking 
❏ seated cuddle options  ❏ read/be read to 
❏ hugs/standing cuddle options  ❏ watch a tv show/movie (may need advance notice) 
❏ _____ min notice before session completion  ❏ Other: _____________________________________ 
 
What do you feel would be the best tone for your session to start with?​ Circle one or more 

Silly, Relaxing, Fun, Overcome Fears /Anxieties/ Trauma, Calm, Spiritual, Meditative, Uplifting, Other _________ 

Is there anything you are uncomfortable with in regards to touch or a session in general currently? 
(Such as: Do you have any activations, ticklish spots we should avoid, soreness/pain of any kind, etc.?) 

Is there anything the professional should know or you would like to share before the session begins? 
(Would you like to be woken up if you fall asleep, medical issues that may arise, emergency contact if needed, any trauma 
we should be aware of (verbal explanations are good too), what you hope to get out of your session, etc. )