Submit to Temptation
Apply to Serve Me
Name
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E-mail
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Phone Number
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Provide a concise and respectful introduction of yourself: your kink history and experience (lifestyle and professional), line of work, hobbies outside of kink.
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Why do you want to see a Dominatrix and why have you chosen Me in particular?
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Where did you find Me?
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How do you identify? (Tick all that apply to you)
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Submissive
Slave
Bottom
Fetishist
Sissy
Pet
Masochist
Just Curious/Unsure
How are you looking to feel in our time together? (Tick all that apply)
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Helpless
Vulnerable
Owned
Used
Humiliated (erotic)
Humilated (mocking)
Degraded
Seduced
Hypnotised
Connected
Powerless
Objectified
Slutty
Feminine
Useful
Cherished
Appreciated
Punished
Disciplined
Lists your kinks and fetishes in the following categories
Hell Yes
Yes
Maybe
Hard Limits
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Tell Me names that are a turn on to be called.
Tell Me names that are a turn off to be called.
Physical and mental health issues, injuries and mobility limitations? Current Medications?
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How do you feel about pain? (Tick all that apply)
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Some pain can be erotic
I do not enjoy any pain
I want to please mistress with my suffering
I am a pain/slut masochist
I would like to have my limits pushed and tested
I have not yet experience pain and am not interested yet
I have not yet experienced pain and am interested in exploring this
Can you have bodily marks?
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Yes
No
Temporary is okay
What would you like to explore with Me?
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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?
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Desired length of session?
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In Person 60 Mins (starting from $450)
In Person 90 Mins (starting from $700)
In Person 2 Hours (starting from $850)
In Person 3 Hours (starting from $1150)
Dinner & Domination (starting from $1350)
FMTY (On Application)
Virtual Domination 60 Mins ($200)
Virtual Domination 90 Mins ($300)
Virtual Domination 2 Hours ($400)
Kink & BDSM Event ($200ph + Price of My event ticket)
In Person Overnight servitude (starting from $2500)
Request session date, days and time (share with Me all available options)
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Dominatrix references
Tell Me about your skills and attributes that may be of interest to Me?
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Tell Me something about yourself that you are most proud of yourself for?
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I have read Mistress Moniques website in full including screening and cancellation policies. I will send through screening information as well as deposit.
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Yes Mistress
I am a time waster and will not be responded to
I would like to subscribe to Mistress Moniques newsletter.
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Yes Mistress
No Mistress
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