Stacy Quartz Session Intake

Name

First NameLast Name

What is your legal age

Email

example@example.com

Where are you located?

Desired duration of session?

What type of Session are you interested in?

Have you ever been to a professional dominatrix before? If Yes, be prepared to supply a reference if requested

If answered 'Yes" above who was the professional?

Gender Identity

Preferred Pro-Nouns during scene

Preferred Pro-Nouns outside of scene

What is your experience in the lifestyle and with what activites of kink or BDSM?

What feelings are you trying to chase or feel?

List your kinks and fetishes

Are there any kink related traumas I should be aware of?

What do you hope to accomplish with Stacy Quartz and our session?

Do you have any long term fetish/bdsm goals?

What do YOU enjoy wearing during a scene?

I enjoy the following activities

What type of Domme style are looking for? It is okay if you are unsure

Do you have any medical conditions that I should know about, that may affect you during a session?

If 'Yes' to the above, then outline any concerns that I should be made aware of?

For the Bottom/ S - What form do you most identify with?

Are you claustrophobic?

If 'Yes' to the above, then outline any concerns that I should be made aware of

In general can you leave our session with marks?

Do you give your consent to be marked during our session? Also any specific areas to avoid?

Are you allergic to latex?

Do you have any allergies I need to be aware?

What specific toys/props do you request Stacy Quartz to consider using in your next session?

Are there any specific restraints you hope you can use in your next session with Stacy Quartz?

What are your soft limits ? (A soft limit is something that you are currently not interested in but could be open to exploring later in another session as we get to know each other)

What are your hard limits (A hard limit is something that must not be done ever. Boundries that must be respected.)

I declare that the information that I have provided to Stacy Quartz is 100% factual. I understand that if for any reason Stacy Quartz finds any untruths in the information above that it can be used as a valid reason for not moving forward to the next vetting stage and session booking. I understand that despite filling out the vetting form above it does not mean that a session booking is guaranteed. I consent to the conditions outlined in this statement and that by checking this box it is to be treated as the equivalent of a digital signature.

Signature

Form

Stacy Quartz's