Mistress Alisa specializes in working with men and women in traditional and kink-friendly relationship dynamics. Her practice focuses on relationship development, intimacy, communication, personal growth, and relational leadership within those frameworks.

Individuals seeking support related to transgender identity, polyamorous relationship structures, LGBTQIA+ issues, or other specialized identity- or community-specific concerns will be better served by a professional whose training and expertise are centered in those areas. For this reason, prospective applicants with such needs/interests are encouraged to seek a provider whose qualifications align with their specific needs and goals.

Which of the following best describes you? (Please type out the full sentence.)

☐ Biological male seeking guidance regarding a heterosexual relationship

☐ Biological female seeking guidance regarding a heterosexual relationship

☐ My circumstances fall outside the scope of this practice

What is the most important issue that you would like to get Mistress Alisa's assistance with?

Why is this issue important to you?

Have you listened to any current or previous podcast content by Mistress Alisa?

(Shows include: The Relationship Renaissance, Chainbreaker, Kink Friendly, and Heart & Soul.)

If you have listened to any of Mistress Alisa's previous content, which shows have you listened to, and what are your thoughts about the content that you have listened to?

Do you understand that interviews for the Ask Mistress Alisa segments are recorded and may be used as content in future podcast episodes, on websites, on social media sites, and in marketing material?

Do you agree that, in requesting to be featured as a guest on the Ask Mistress Alisa segment of The Relationship Renaissance Podcast, you are consenting to have your interview featured as content through Alisa Coaches publications?

Age:
Sex: 
Relationship Status: (single, married, divorced)

**Note: You will be required to provide your NAME and EMAIL address at the end of the application. Please ensure that those details are correct, otherwise we will not be able to follow up with you if you are chosen for an interview.

Are you comfortable discussing adult topics, including kinks and fetishes?

The following topics are not permitted on the Ask Mistress Alisa interview segment: pedophilia, bestiality, blood, scat, urine/watersports, extreme sado-masochistic practices (torture), any and all forms of witchcraft; as well as illegal, unethical, and immoral.

Do you understand this statement, and do you consent to abide by this guideline if selected to appear as a guest on the show?

Is there anything that you do NOT want to discuss during the interview?

(If you are selected to be on the show, Mistress Alisa will honor your wishes with regards to topics that you would prefer to not discuss.)

Have you ever participated in any sort of counseling or coaching in the past (individual, couples, or group)?

Please note that Mistress Alisa is NOT a licensed professional and does not provide services that require licensure. She is a coach and her services are not meant to replace any professional mental health services that participants may need. If you need the services of a professional mental health professional, you are strongly encouraged to see out a qualified individual to assist you with your needs.

Please provide any additional details that you would like for us to consider with your application.
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In answering this question, you have come to the end of the application. On the next screen, you will be asked to provide your name and email address.

Please know that a first name (feel free to make one up) will suffice. If you plan to join the Alisa Coaches community (a free membership is available), you are encouraged to use the same name on this application as you would use in the community. Again - participants are encouraged to remain anonymous.

Lastly, you will have the option to opt into our email list on the next screen. You are encouraged to do so, if you would like to remain updated on future Alisa Coaches news and/or opportunities to participate in additional free coaching activities.