Creatrix of Chaos Sessions Application Form

1
What should I call you?* This field is required.Keep it classy - remember, this is your first impression!
2
How old are you?* This field is required.You must be at least 18 to play.
3
What is your email address?* This field is required.Check your inbox + spam folder for my reply in the coming week.
4
What is your phone number?* This field is required.No VOIP (mobile or landline only). I will never call or text you, this is purely for safety screening purposes.
5
What do you do for work, and how do you spend your leisure time?
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Where would you prefer to session (City, State)?* This field is required.NOTE: sessions taking place outside Poughkeepsie, NY will incur venue rental + travel fees.
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What length of session do you desire?* This field is required.NOTE: the minimum duration for our first session together is 2 hours, and will include a brief review of desires/boundaries at the beginning.
1 Hour (AFTER a relationship is established, see NOTE above)
2 Hours
3 Hours
4 Hours (half-day)
8
What is your availability to schedule a session? Include at least 3 options.* This field is required.For example: Thursday evenings; weekends any time; Mondays between 8am-noon.
9
If selected for a session, which safety screening method will you use?* This field is required.You will receive instructions via email according to your selection.
ID pic + selfie
Public profile (LinkedIn, verifiable web presence, etc.)
Reference from other Pros you have seen in the past 2 years (website + email)
10
How would you rate your experience level?* This field is required.
First Time Ever (you have no prior experience)
Beginner (you have some experience, but are still feeling very new)
Intermediate (you know your likes/dislikes, and now desire to go deeper/explore new areas)
Advanced/Lifestyler (you have years of experience, possibly including with other Pros)
11
If you have sessioned with a Pro before, what has been your BEST experience? Why was it so memorable?* This field is required.If you have NOT sessioned with a Pro before, type "N/A".
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If you have sessioned with a Pro before, what has been your WORST experience?* This field is required.If you have NOT sessioned with a Pro before, type "N/A".
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What attracted you to me, specifically?* This field is required.Please also include where you first encountered my presence.
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What type of experience would you like to have with me?* This field is required.
Initiatrix (For first steps & tender new experiences)
Domina (For true submissives craving devotional service)
Couples (Guidance into deeper connection with your beloved)
Other (Please be detailed when describing your ideal session in the following questions)
Unsure (NOTE: I recommend a 1-hour video call to clarify your desires)
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How do you desire to feel during, and after, a session with me?* This field is required.
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What would you like to explore together?* This field is required.In other words, please describe your ideal session in detail.
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What relevant physical, mental, or emotional considerations should I be aware of?* This field is required.EXAMPLES: heart condition; joint issues; blood clotting disorder; asthma; diabetes; allergies (latex, NSAIDs, etc.), surgeries/injuries; claustrophobia; past trauma relevant to the session; etc.
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Any fears or concerns in regards to our session?* This field is required.If not, write "No".
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I agree to the intake/deposit/balance policies described below.* This field is required.If selected, we will book a 20-minute video call to discuss a first session. The nonrefundable fee for this call is $50. If we both desire to proceed to booking a session, the video call fee will be applied to your session deposit. Session deposit is 50% of the total, with the balance due at the start of the session. The base rate for sessions is $600/hour. NOTE: the minimum duration for our first session together is 2 hours, and will include a brief review of desires & boundaries at the beginning.
Yes
Yes, and I prefer a 1-hour intake call to get to know each other more deeply ($150)
No (you will not be selected)
20
I agree to monitor my inbox + spam folders in the coming week.* This field is required.All communication about sessions takes place via email - make sure you don't miss my reply!
Yes
No (you will not be selected)
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