First session intake form
Submit to me. Provide as many details as possible to make sure our session will go smoothly. After you complete this form, I will contact you to schedule a required 15-minute consultation. This consultation is $50 sent via Cash-app, Venmo or Throne and will count toward the overall cost of your session. Same-day cancellations will result in a rescheduling fee and it will be allowed only ONCE. All sessions require a 25% deposit. This is to protect My time and yours. The remaining balance is due in cash, or pre-negotiated form at the time of our session.
Legal name / Name you want to be called by
*
First, Last Name
Nickname
Your Occupation:
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Your Age
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Preferred way of contact
*
Please Select
Text message
Email
Phone call
What is your level of experience?
*
Please Select
Novice
Beginner
Intermediate
Very Experienced
What type of session are you interested in?
*
Phone call (from 15min to 1h)
In-Person IN-CALL
In-Person OUT-CALL
Dinner + Domination (min3h)
Shopping Date
Fly Me to you
Fin-dom Meet
What are you interests/ desires? (select all that apply)
*
Abandonment
ABDL
Anal
Armpits
Ass Worship
Ball Busting
Bastinado
Beat down
Begging
Blackmail
Body worship
Boots
Breath Play
Candle wax
Caning
Chastity
CBT
Collar and leash
Consensual non-consent
Corner time
Corporal punishment
Cross-dressing
Crushing
Cuckold
Cunt torture
Degradation
Dinner domination
Domestic duties
Dominant life coaching
Edge play
Edging
Electrics
Exercise
Exhibitionism
Face slapping
Figging
Financial domination
Financial worship
Flogging
Food play
Foot fetish
Foot worship
Forced Feminization
Gags
Goddess Worship
Golden showers
Hair pulling
High heels
Hoods
Human furniture
Humiliation
Hypnosis
JOI
Judicial punishment
Kicking
Kidnaping fantasy
Lace
Latex
Leather
Leggings
Legs worship
Lingerie
Medical play
Money fetish
Mummification
Nail fetish
Needles
Nipple torture
Objectification
Orgasm control
Pantyhose
Panty play
Pet play
Public Play
PVC/vinyl
Role-play
Rope
Rubber
Ruined orgasm
Scent play
Scratching
Sensory deprivation
Sensual domination
Shibari
Shoe worship
Single tail
Slave training
Slut training
Sneakers fetish
Socks
Sounding
Spanking
Spitting
Sweat fetish
Tickling
TPE
Trampling
Voyeurism
Whipping
Something Else?
When would you like to schedule a session? (provide at least 1 - 3 dates and approximate time)
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How long is your desire session?
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1h -minimum
1.5h
2h
3h+
Other
Describe your Ideal session. Tell me how do you want to feel?
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Fantasies, Role play, Scenarios you like to explore. Do you want to feel small, humiliated, degraded? Or prized, rewarded, encouraged?
List your boundaries/ Hard Limits AND Physical limitations
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illnesses, allergies, health-related limitations, etc, mental, and emotional boundaries. What words, role plays, or feelings are off limits? What are your non-negotiable boundaries?
What is your pain tolerance?
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Please Select
0 I am in the game for pleasure only
1 I like occasional smack/ kick/ spank
2 I like pain and want to be trained to take more
3 Love pain
4 Give me all you have Ma'am!
Are bruises/ scratches/ marks acceptable?
*
Please Select
Yes
No
Yes, Only in specific places
How do you identify within BDSM?
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Masochist
Submissive
Switch
Fetishist
Other
How did you learn of me? (select all that apply)
*
Tryst
FetLife
X
Instagram
Event
Google search
The Taillor Group / The Crown
SA
Other
Screening option chosen :
*
ID-uploaded below
Linked-in and Personal cellphone number.
Meeting in public (Extra cost)
References from previous mistresses (2-3 contacts) -IT MAY TAKES UP TO A 7 DAYS TO COMPLETE SCREENING THIS WAY
Click here to List contacts for your referencer: Name /Email/ website
Photo of your ID / Screenshot of your Linked-In (logged in)
Browse Files
Drag and drop files here
Choose a file
ALL ANSWERS INCLUDED IN THIS FORM (ID VERIFICATION, PERSONAL EMAILS AND CELL NUMBERS) ARE ENCRYPTED & PROTECTED; I DO NOT ENGAGE WITH CLIENTS' PERSONAL INFORMATION OTHER THAN THE INITIAL SCREENING FOR SAFETY PURPOSES.
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