Pre-Screening Form
Please complete this form in its entirety. All provided information is 100% confidential and is intended to help your provider feel safer and more comfortable during your session! If you have additional questions, please email daninopanties@proton.me
Name
*
First Name
Last Name
Age // Ethnic Background
*
Must be over 21!
All are welcome here!
Preferred Name
What would you like me to call you?
What are your pronouns?
She/Her, He/His, They/Theirs
Where are you located?
*
If out-of-state, be prepared to buy plane tickets! ✈️
Phone Number
*
It's okay if it's a burner number. :p
E-mail
*
sugardaddy@sugardaddy.com
When would you like to have your session?
*
-
Month
-
Day
Year
I prefer to have 24-48 hrs in advance. For same-day bookings be prepared to gift extra.
Which service are you seeking?
*
Please Select
Nuru Massage
Companionship
Nuru + Companionship
Sugar Dating
Femdom
Findom
BDSM
Dinner Date
Have you been vaccinated?
*
Yes/No
What is your love language?
I will make sure to incorporate this information into our session!
What are you seeking from this connection?
Romance, travel-partner, companionship, etc.
Is there anything else I need to know?
Special interests, needs, etc
Can you host?
Yes
Maybe
No
When was your last STD/STI test?
Do you smoke tobacco?
Yes
No
Do you use other substances?
Yes
No
Do you drink?
Yes
No
Please upload a photo of your ID.
*
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Choose a file
You may blur out sensitive information like your ID number or address. I simply need to verify your age.
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Next, take a selfie while holding a piece of paper with today's date and your name. Please upload that image here:
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Choose a file
This is to verify that you are who you say you are!
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Thank you for completing this form! To expedite the screening process, you may send a $25 gift via CashApp to $danirosexoxo and I'll be in touch within 24 hrs.
I look forward to connecting with you!
P.S.
Be prepared for a brief video chat to get better acquainted. Following our chat, you'll gift 50% of your session total. The rest may be gifted after our date. You are gifting me for my time. Anything that happens outside of that is between two consenting adults.
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