Vetting Form
Thank you for your interest in booking with TheeBlaqueDahlia. This form is designed to ensure safety, compatibility, and mutual clarity before we move forward. Personal data is not collected for sale and is solely for record keeping. Filling this form out does not confirm any sessions with TheeBlaqueDahlia.
Basic Info
Legal Name
*
First Name
Last Name
Scene Name
E-mail
*
example@example.com
Pronouns
*
He/Him
She/Her
They/them
Other
Age?
*
What is your gender identity?
*
Location?
*
What is your social media handle(s)?
*
Please list the name of the social media platform as well.
How would you describe your sexual identity?
Lesbian/Gay
Bi
Queer
Pan
Straight
Other
Kink Experience
How do you identify within the kink community?
*
What is your experience with kink/BDSM?
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Preferred Honorifics
Are you new to professional sessions?
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Yes
No
N/A
Are you currently in a dynamic? (Collared, owned, or serving another D-type)
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Yes
No
Limits & Safety
Please list your soft & hard limits
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Do you have specific injuries, traumas, or accessibility needs I should be aware of?
*
Do you prefer using safe words & nonverbal cues or plain language during play?
*
Session Details
What are you seeking in connecting with me?
One-time session
Ongoing sessions
Service sub
Event bottom
Dynamic or long-term power exchange
I’m still figuring that out
Something else (please elaborate below)
If you’d like, tell me more about what you’re hoping to gain or experience through our work together.
*
Don’t be coy, don’t overthink, speak unabashedly from the heart. There is no wrong answer.
What kind of experience ot energy are you craving?
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Nurturing / Gentle Guidance
Affirming / Sensual / Tender
Teasing / Playful / Flirty
Disciplinary / Structured / Controlled
Humiliating / Degrading
Sadistic / Pain-forward / Edgy
Ritualistic / Transformative
Cathartic / Emotional release
Not sure yet, I’d like to explore together.
Are you seeking in-person or virtual sessions?
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In person (I reside in Memphis or Chicago)
In person (I am interested in your travel policy)
Virtual
Consent & Ethics
What does consent mean to you in kink dynamics?
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Define the consent philosophy PRICK in your own words.
*
What is your experience with renegotiating boundaries? (Either mid scene or within your vanilla life)
*
How do you distinguish between obedience and people pleasing?
*
What behaviors from a Dominant would make you immediately walk away?
*
Final Reflections
Why do you wish to book with TheeBlaqueDahlia?
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What are you hoping to experience with me that you haven’t found elsewhere?
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What are your aftercare needs?
*
Please be as detailed as possible
Would you be comfortable with me filming/taking pictures during our session? (I will ensure your identity is protected)
Yes
No
Possibly
How did you hear about TheeBlaqueDahlia?
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