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CUSTOM VIDEO RECORDING INTAKE FORM

Miss Ari Canes — Power Presence | Dominance | Psychological Discipline
Customer Details:
Name*

Preferred NameFull Name
E-mail*
example@example.com
Age*
Gender*
Location*

CityState / Province

Postal / Zip CodeCountry
How did you hear about Miss Ari Canes?*
Please Specify
What is your preferred name for me to address you by in the video?*
(First name, nickname, honorific, etc.)
How would you like me to refer to myself in the video?*

Miss AriMa’amMommyMotherAuntieMistressDisciplinarianTeacherProfessorBossGoddessOther
What tone of address do you want from me?*

Neutral authoritativeCold and superiorSoft but commandingMaternal dominant (Mommy’s in charge)Icy disciplinarianWarm but firm guidanceCondescending / spoken down toDisappointed correctionHypnotic / slow psychological dominanceSesnualApologetic / this is for your own goodOther
What scenario do you want this video to contain?*

Being called in for correction or disciplineBeing spoken to after a poor decisionBeing confronted about avoidance or procrastinationBeing reminded of your place / power dynamicBeing held accountableBeing seen through and called outBeing guided back into focusBeing scolded or chastisedBeing commanded to listen and follow directionsBeing instructed to self spankMaternal “come here and let me handle you” dynamicExecutive authority / professional reprimandOther
What are you hoping to feel during and after the video?*

Small in a grounding, comforting waySmall in a strict, corrective wayPut in my placeSeen and understoodSpoken down toCorrected and chastisedSoothed but controlledHeld accountablePsychologically dominatedSorry for my actionsMotivated through authorityFocused and disciplinedCatharsis / emotional releaseOther
7. Is this video meant to be:*

A correctionA reprimandA grounding experienceA power exchange momentA nurturing but dominant interactionA psychological resetA firm accountability checkA reminder of my authority over youA thrill of feeling afraidOther
Do you want to include a specific mistake, struggle, or behavior for me to address?*
(You can be general or detailed.)
Are there any words, phrases, or specific lines you want me to include?*
(Feel free to list 1–3 key ones.)
Are there any words or tones you absolutely do NOT want used?*
(To ensure boundaries and comfort.)
Pacing preference:*

Slow, hypnotic, lingeringSlow, warm and maternalSlow, suspenseful, edgyAverage, neutral, medium pacedNeutral and disinterested (get it over with)Faster paced, but calmSharp and preciseStrict, harsh, dominatingDirect and literalIllusive and suggestiveOther
Is there anything else I should know to deliver the exact experience you want?*
Thank you.
Your answers give me everything I need to craft a powerful, precise recording tailored to your psyche and your cravings.
I’ll take it from here.

~ Miss Ari
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CUSTOM VIDEO RECORDING INTAKE FORM