Customer Review Form

1

Review No.

2

Your Name * This field is required.

This is for my reference only and will not be shared publicly

3

Date

4

Have we met before?* This field is required.

Once

A few times

More than I can count 😜

6

Overall, how would you rate your experience?* This field is required.

7

What first stood out about me?

Examples: My personality, appearance, ass, confidence, something unexpected

8

How would you describe our chemistry?

Examples: effortless, playful, relaxed, exciting, affectionate

9

If you had to describe me in 3 words....

10

What will you remember most?

11

Would you recommend me?

Absolutely

Yes

Maybe

12

Would you like to spend time together again?

Definitely

Yes

Maybe

13

Your Review ♡

14

Can I publish your review on my website or advertising?* This field is required.

Yes

Yes, please keep my details anonymous

No, this is private feedback only

15

Is there anything I could do to make your next visit even better?

16

Complete the sentence: My favourite part was blank

17

Please verify that you are human* This field is required.