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ABOUT YOU
First Name
Last Name
Email
Phone
Enter any special calling instructions below
List your location request
Level of Experience
No prior experience
Novice
Experienced
Advanced
Have you served other Professional Dominatrixes?
Yes
No
How would you describe yourself?
Submissive
Fetishists
Masochist
Slave
Servant
Unsure/Wanting to explore
APPOINTMENT INFORMATION
Acknowledgement
I acknowledge that I understand NO SEXUAL ACTIVITIES are being offered
PREFERRED DATES AND TIMES
1st Preference
2nd Preference
3rd Preference
SESSION INFORMATION
Session Demeanor
Strict
Sadistic
Humiliating
Merciless
Sensual Teasing
Playful
Session Type
Sissy / Transformation
Mistress / Slave
Foot Fetish
Teacher / Student
Nanny
Naughty School Girl
Medical (Nurse)
Military Drill Instructor
Interrogation
Financial Domination
Discipline
Slut Training
Public Outings
Bi-Curious Roleplay
Other
Specify below
Desired Mistress Attire
Leather Boots
High Heels
Lingerie
Business
Latex
PVC
Uniform (Military/Police/Nurse)
Disciplinarian
No Preference
Activities
Ball Busting
Cock & Ball Torture
Boot Worship
Trampling
Judicial Punishment
Bondage (light)
Bondage (heavy)
Branding
Breath Control
Caging
Chastity play
Caning
Catherization
Enemas
Exhibitionism
Collaring
Crossdressing
Electrical Play
Domestic Service
Eye contact Restrictions
Face Sitting
Slapping
Fantasy Abandonment
Foot worship
Forced eating
Spanking/Paddling
Over the knee
Hair Pulling
Human puppy dog
Hot wax
Humiliation
Ice Cubes
Immobilization
Infantilism
Needle play
Rope Bondage
Interrogation
Kneeling
Knife play
Leather restraints/bondage
Metal bondage
Mummification
Nipple Torture
Whipping
Tease and Denial
Piercings
Restrictive behavior
Sensory deprivation
Serving as spittoon
Serving as furniture
Serving as a maid
Shaving
Body sacks
Speech restrictions
Straight jackets
Tickling
Sounds
Violet Wand
Voyeurism
Water torture
Waxing (hair removal)
Equipment / Devices
Ball Gags
Inflatable Gags
Bit Gags
Leather Hoods
Latex Hoods
Canes
Body Bag
Wooden Paddles
Straps / Tawse
Nipple Clamps
Weights
Collars
Leashes
Handcuffs
Single Tails / Bullwhips
Floggers
Hairbrushes
Crops
Icy Hot
Chasity Devices
Ball Crushers
Ball Stretchers
TENS Unit
Blindfolds
Restrictive Collars
Belts
Humbler
Equestrian Gear
Do you have any session interests not listed above?
Yes
No
If yes, please enter your other activity interests below
Pain Level
No pain please
Light
Moderate
Heavy
Extreme
Marking Limitations
Any Medical Conditions?
Session Desires
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