Form

Government Name (for screening purposes)*

First NameLast Name

Scene Name (how you would like me to refer to you)

First NameLast Name

Email address*

Phone Number*

What neighborhood and city do you live in?*

Do you have reliable transportation?*

What is your occupation? (industry only is fine)*

Select the services you are most interested in.*

Domestic ServitudeKinky GFESession DominationChastity / Keyholding

Tell me about your previous experiences as a service submissive. What did you enjoy? What do you wish you had more of?*

Why do you want to serve me specifically? Do your research, and tell me what you are eager to add to my life or learn from me.*

Are you prepared to accept financial responsibilities? If so, what is your weekly/monthly limit? *

*For domestic subs that may include refilling household supplies and small household errands. For foot or body worship subs that includes monthly spa services. Those seeking semi-exclusive relationships of a higher tier can indicate that in their response.*

Tell me about the kinks that most excite you and why.*

Tell me what you hope this D/S dynamic will bring to your life. Short term and/or long term.*

What is your favorite kind of aftercare?*

How many days a week do you envision service? And for how many hours?*

On a scale of 1-10, rate your satisfaction with your vanilla life.*