New Client Application & Interview Questionnaire for ProDomme Services
Please fill out the following form in its completion if you are interested in Virtual or In-Person ProDomme Services from Leah Lorette, the Mistress Asherah & Domina of the Den of Venus. I will review your answers and reply to you via e-mail within 2-3 business days. This application acts as both a client safety screening, a test of your obedience and willingness to follow my directions, and a tool of determining if we are actually a good fit or not professionally. All information is kept encrypted and confidential.
Contact Information & Client Screening
This is for general communication as well as new client screening, and is required. Failure to provide the following information will result in an automatic denial of your Client Application. All information provided is secure and confidential.
Full Name
First Name
Last Name
Date of Birth
This is a requirement to be compliant with new laws about age restricted access to Adult Content or Services and the age verification of potential clients.
Contact Number
Please enter a valid phone number for texting.
Email Address
Most communications will be via E-mail.
Location
Please provide your city and state/province of residence.
How did you find me?
Please share what source or platform you found me through.
Your Username
If you found me through OF, FetLife, IG, etc.
Are you in a romantic relationship?
Yes, and they cannot know about this
Yes, and they know/can know about this
No
What about me, my profile, or my work drew you to me?
Please be honest! Why do you want to work with me, or serve me?
Have you ever seen a ProDomme or Professional Companion/Escort before?
Yes, a Companion
Yes, a ProDomme
No, this is my first time
If yes, please provide their name and contact information (phone, email, provider profile, and/or website) so that I may verify the reference:
If you have not seen a ProDomme or Professional Companion before, or no longer have or are unable to share their contact information to provide as a Reference, please note that you will be required to undergo a Video Interview with me, or have a Virtual BDSM Session before I will book an in-person session anywhere except my Dungeon as an added layer of the screening process. *A professional reference not required for virtual sessions.
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Please attach a picture of you holding your photo ID by your face. I need to verify your face, name, and date of birth as accurate to the information you have provided above for identity and age-verification. This photo will not be saved, and all information is encrypted and kept confidential.
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Interview Questionnaire
Please answer the following questions to the best of your ability. Long-form answers are encouraged. Blank or short answers that show no effort will reflect poorly on your consideration as a Client. These questions help me to get to know you better, and to determine whether or not we would be a good fit.
Preferred or Scene Name & Pronouns
Please provide the name and pronouns you wish to be addressed by.
Your Roles or How You Identity in BDSM/Kink (currently, or exploring/interested in):
Sub? Slave? Switch? Sissy? Bottom? Top? Pet/Puppy/Pony? Prey? Sadist? Masochist? Unsure/Exploring? Etc.
Your Experience in BDSM/Kink and D/s Power Dynamics
Please be descriptive, and honest if you have little or no experience--this is not a bad thing, but important for me to know! And I love working with clients new to BDSM and Kink.
Have you ever been in a power dynamic/exchange with another Dominant or Mistress, whether Lifestyle or Professional?
Please share any experiences, what they entailed, how long they lasted, what you did and did not like about or enjoy within those dynamics or play sessions. If you have not had any experience, please say so!
What are your personal kinks and fetishes? What do you enjoy in BDSM play? What do you want to explore deeper, or interests/new things you want to try?
Please be precise and descriptive, even if you are new or still exploring. Note: I will never kink shame, but I do not cater to all fetishes/kinks/play requests, and this helps to further clarify if we are a good fit or if it would be better for me to refer you to another Provider who can better meet your needs.
What are your soft limits--the things you aren't sure about but might consider trying, and hard limits--the things you will not or do not participate in?
Again, please be precise and descriptive. "No limits" is an unacceptable answer, however "Unsure and need to test/explore" is acceptable.
How do you feel about Submission and/or Service?
If you identify as a Submissive, Slave, or Service Sub, what does it mean to you--or why do you want to explore it? What do you find most satisfying to perform in Service or as a Submissive for your Dominant?
How do you feel about pain? Where do you like or don't like to feel it? What intensity (light, moderate, severe)?
Being a masochist is common, but it's also alright if you don't like pain or have a low tolerance--please tell me! You don't have to be a masochist to be into BDSM!
How do you feel about humiliation and degradation? Do you enjoy them, or not really? If so--in what ways? To what degree? What do you find specifically humiliating or degrading to you?
This could be good or bad humiliation! Light, moderate, or severe--or none!
What does your preferred Aftercare look like, what do you require after a BDSM session? If you're unsure--what makes you feel good, secure, and grounded after an (physically, mentally, or emotionally) intense experience?
For some people they need words of affirmation, others need cuddles and gentle touch, some need a snack, some need more or less time/attention than others, etc.
What are some long-term goals you want to explore or work on through BDSM/Kink? What boundaries of comfort/limits do you want to possibly (consensually) push for yourself? What strengths or weaknesses do you have that you want to reshape or strengthen?
Dig deep, consider your vanilla life--what goals do you have for your own personal growth and development? What drives you, fills you with pride, or provides you satisfaction in your life? Leading, serving? What do you need help with--financial planning, self-care, social anxiety, lack of confidence?
Outside of Kink/BDSM, what is something you've done or are doing that you particularly enjoy, or are especially proud of? Tell me about some of your vanilla hobbies, interests, projects, or goals.
I want to get to know you as a person, on a deeper level. Don't be shy! We might have similar interests.
Describe a particular fantasy that you have, the scene complete with specific activities and little details important to you:
I can't guarantee that I can provide this fantasy, but it may give me ideas for a scene!
Booking Request Information
In this section you will describe what service(s) you're looking for and what you're hoping to get from ProDomme services/sessions.
What Service(s) are you interested in? (You may choose more than one)
Virtual ProDomme BDSM Sessions
Virtual D/s or Service Dynamic
In-person ProDomme BDSM Sessions
In-person D/s or Service Dynamic
Submissive Training (separate from individual sessions)
Caging, Chastity, & Keyholding Services
Alternative Intimacy (BDSM, Kink, ENM/Polyamory) Coaching
Kink-Aware Holistic Reproductive Wellness Coaching
Other
Please describe in detail what you are hoping to get out of a Professional BDSM/Kink session or lifestyle dynamic arrangement and what you could provide your potential Mistress in return.
Be descriptive, be creative, be honest, be open minded!
If requesting Alternate Intimacy Coaching or Reproductive Wellness Coaching for you and/or a partner, please describe where you are now and what you're looking for help with:
Don't be ashamed--be honest and open about your needs, what you want to explore, or what you're stuck on!
If requesting in-person sessions, are you local to me? *Please note my session rates change according to the travel radius.
Yes, local (within an hour radius of Jacksonville, NC and covered by 'home rates')
Yes, in an upcoming or currently-touring city (standard tour rates apply)
No, but in the 'Day Trip' travel radius (in Raleigh/Durham, NC or Myrtle Beach, SC--day trip tour rates and minimum-booking apply)
No, but in the 'Mid-Range Tour' travel radius (Winston-Salem, Asheville or Charlotte NC or Richmond, VA--mid-range tour rates and minimum-booking apply)
No, beyond mid-range travel radius and interested in a DMTY/FMTY/TMTY
Interested in Sponsoring a Tour to my city (cheaper than FMTY)
If you want me to tour in your area, please list your nearest larger city:
I am always looking for new places to visit! Want to see me sooner? Let's talk about a Sponsored Tour or Drive/Fly/Train Me To You booking.
If Local, Day Trip or Mid-Range and requesting in-person sessions, are you interested in out-call (you book the venue and I come to you) or in-call (I book the venue and you come to me)? *Please note, all out-call locations MUST be pre-approved before booking with Mistress Asherah, and at a hotel or Rental Dungeon never a private residence.
In-call session (you come to me at my Dungeon space)
Out-call session (I come to you)
Please provide your availability over the next two weeks, or within my posted tour window. I am available for bookings Friday evenings through Monday evenings, and only with at least 72 hours notice unless I am touring, then I require at least 24 hours notice for bookings.
Please provide multiple days and times that you would be available over the next two weeks. Time to sign waivers and review venue rules before a session, and 20-30 minutes of Aftercare after a session, is required. Please prepare to allow for 2 hours together for a one hour session booking, 3 hours for a 2 hour session, etc.
You understand that you may not solicit Mistress Asherah for sexual services or sexual intercourse of any kind, and that Mistress Asherah is not a FSSW and does not engage in genital play or contact, pegging, milking, oral or genital intercourse, or above the knee 'body worship' with any ProDomme client:
Yes, I understand
No, I do not understand
You understand that a nonrefundable deposit/retainer fee is required when booking all in-person sessions, with the remaining session fee due at the time of the session. Your deposit is transferable to another session in the case of a reschedule with at least 24hrs notice. Last-minute cancellations or no-shows will not transfer the deposit to a new session except for -if you're sick- [please ask to review our Deposit, Cancellation, and Sick Policy]... *All bookings except FMTY/Sponsored Tours require a $200 Deposit/Retainer Fee. *All virtual sessions must be paid for in-full at the time of booking prior to the Session... *Payments can be made via CashApp or in Cash.
Yes, I understand
No, I do not understand
Health Intake
This is important information that I take into consideration when planning a session together just as much as your personal kinks or limits. The health and safety of my clients is of utmost importance to me, and I am both CPR and First-Aid Certified with a background in the medical, health and wellness field. I am disability-conscious, inclusive, trauma-informed, and COVID-careful in my practice and do my best to make scenes and sessions as accessible as possible for all clients. Your medical information is secure and confidential, and I adhere to Professional Client Confidentiality and HIPAA standards.
Do you have any known allergies?
Yes
No
If yes, please list:
(Ie. latex, fragrance, coconut, bleach, etc.)
Do you have asthma or other breathing problems?
Yes, medically managed (ie. you have an inhaler)
Yes, not medically managed (ie. you don't have an inhaler)
None
Do you have any heart/circulatory issues or medical conditions such as a blood clotting condition or being on blood thinners for clot risk, cardiovascular disease, heart attack history, POTS or similar postural issues, etc?
Yes
None
If yes, please describe.
Please share what condition, how it may affect you, and whether or not you are on medications or under medical management for it. If severe or contraindicated, you may have to get cleared by a medical professional before booking a Session. I am happy to give referrals to kink-aware healthcare professionals for evaluation.
Do you smoke tobacco?
Yes
No
Please list any other health issues, conditions, or physical injuries you may have that may affect your ability to participate in a session in any way, or that is important for me to know about beforehand (such as Epilepsy, Narcolepsy, a knee injury, top surgery scar adhesions, etc.):
All medical information is kept confidential and is only for ensuring the safety of my clients and helps me to best structure a Scene. If severe or contraindicated, you may have to get cleared by a medical professional before booking a Session. I am happy to give referrals to kink-aware healthcare professionals for evaluation.
Please list any Psychological health conditions or Emotional concerns you may have (such as DID, Autism, Panic Attack Disorder, predisposition to Depression, PTSD and your triggers, etc) that may affect your ability to participate in a session in any way, or that is important for me to know about beforehand:
All medical information is kept confidential and is only for ensuring the safety of my clients and helps me to best structure a Scene. If severe or contraindicated, you may have to get cleared by a mental health or medical professional before booking a Session. I am happy to give referrals to kink-aware healthcare professionals for evaluation.
Do you have any disabling conditions and/or require any disability (physical or mental) accommodations for a session? Please share what you may need or require (such as sensory support, wheelchair access, a fridge for insulin storage, etc.):
I will always do my best to be as accommodating as possible to clients and provide accessible session venues and Scenes for those of all physical/mental abilities.
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