Apply to Serve Me

Submit to Temptation

Apply to Serve Me
Name*
E-mail*
Phone Number*
Where did you find Me? ( advertisement, social media, google, etc)*
Request session dates, days and times (share all available options)*
Desired length of session?*

In person 30 Mins selective fetish worship (starting from $300)In Person 60 Mins (starting from $500)In Person 90 Mins (starting from $750)In Person 2 Hours (starting from $1000)In Person 3 Hours (starting from $1400)Dinner & Domination (starting from $1400)FMTY (On Application)In Person overnight servitude (starting from $2900)
Why do you want to see a Dominatrix and why have you chosen Me in particular?*
Tell Me about yourself...
Provide a concise and respectful introduction of yourself: your kink history and experience line of work, hobbies outside of kink.*
How do you identify? (Tick all that apply)*

SubmissiveSlaveBottomFetishistSissyPetMasochistSwitchJust Curious/Unsure
What specific kinks, fetishes, or fantasies are you seeking to explore with Me? Briefly describe scenes or dynamics you’ve enjoyed (or found lacking) in previous play. *
How are you looking to feel in our time together? (Tick all that apply)*

HelplessPowerlessVulnerableOwnedUsedHumiliated (erotic)Humiliated (mocking)DegradedSeducedObjectifiedSluttyFeminineUsefulConnectedPraisedCherishedAppreciatedPunishedDisciplinedRelaxedCatharsis
What are your hard limits*
Tell me about scenes and activities that you have enjoyed in the past. Is there anything you've done in the past that you didn't enjoy? Why not?*
Maybe
Tell Me names that I could use on you, that are a turn on to be called.
Tell Me names that I could use on you, that are a turn off to be called.
How do you feel about pain? (Tick all that apply)*

Some pain can be eroticI do not enjoy any painI want to please mistress with my sufferingI am a pain/slut masochistI would like to have my limits pushed and testedI have not yet experience pain and am not interested yetI have not yet experienced pain and am interested in exploring this
Can you have bodily marks?*

YesNoTemporary is okay
What would you like to explore with Me?*
Physical and mental health issues, injuries and mobility limitations? Current medications?*
Dominatrix references*
Tell Me about your skills and attributes that may be of interest to Me?*
Tell Me something about yourself that you are most proud of yourself for?*
I have read Mistress Monique's website in full including Her screening, booking and cancellation policies. I will send through screening information and am deposit ready. I am over 18 years of age.*

Yes MistressI am a time waster and will not be responded to
I would like to subscribe to Mistress Monique's newsletter.*

Yes MistressNo Mistress
Should be Empty:

Submit to Temptation

Tell Me about yourself...