Cuddle Compatibility Questionnaire

Cuddle session with Don

Pre-Cuddle Questionnaire
The information requested in this from is used to assure that I am a good match for you to get the most out of a cuddle session. If so, it also helps me to be prepared to provide a cuddle session specific to your needs and wishes. All provided information is confidential.
First Name*
Please use the same first name provided on the appointment request
Your Location*
City, State, or Zip Code
Alternate Contact Options (Select only those options I may use when contacting you.)

Phone CallText MessageEmailOther
Phone Number

Area CodePhone Number
Email
example@example.com
About you
Date of Birth

MonthDayYear
Gender
Optional
Relationship status (Optional):

Not in a relationshipIn a relationship (Monogamous)In one or more relationships (Polyamorous, Open Relationships, etc.)
Do you have any allergies? (If none, write "N/A")*
Do you currently suffer from any contagious or life-threatening illnesses? (If none, write "N/A")*
Please describe any physical injuries, impairments, or areas that require special care. (If none, write "N/A")*
Have you experienced trauma from any of the following? (Please check all that apply)*

Physical AbuseSexual AbuseEmotional AbuseMilitary ServiceNone of the AboveOther
Which of the following are you open to sharing during our session? (Please select all that apply)*

Cuddling or non-cuddling shared activities (i.e. A public outing)Conversation (i.e. Simple non-touch companionship, sharing thoughts/feelings)Eye-gazingLight touch (i.e. caressing, stroking, petting)Shared contact (i.e. Spooning, snuggling, nuzzling, hand-holding)Other
What are you hoping to get out of our session? (Please be honest and specific)*
Statements of Agreement

Please acknowledge each statement below indicating that you understand and agree to these important terms of any cuddle session.
Please view the Code of Conduct
I have read and agree to the Code of Conduct*

Agreed
I agree and understand that a cuddle session does not include anything that could be perceived as a sexual activity or touch by either party. All boundaries will be respected.*

Agreed
I agree to refrain from taking any mind-altering drugs or alcohol prior to or during our session.*

Agreed
I agree to provide payment in full at the time of my cuddle session. The only available payment method for sessions is cash.*

Agreed
I understand that if I must cancel my appointment, I need to provide at least 24 hours advance notice. Without proper notice, I will be unable to schedule another session.*

Agreed
I understand that our session and identities will be kept confidential. However, I also understand that for security reasons, my address and contact information may be made available to a trusted 3rd party who will access the information if necessary.*

Agreed
I understand that my cuddle practitioner may decline to provide or terminate a session at his or her sole discretion at any time, for any reason, including but not limited to reasons of comfort or safety.*

Agreed
I understand that I may decline continuing with, or terminate a session at my sole discretion at any time, for any reason, including but not limited to reasons of comfort or safety.*

Agreed
I CERTIFY THAT ALL INFORMATION PROVIDED ON THIS FORM IS CORRECT TO THE BEST OF MY KNOWLEDGE. I AGREE TO AND/OR ACKNOWLEDGE THE TERMS, REPRESENTATIONS, AND INFORMATION SET FORTH ABOVE, AND FREELY AND VOLUNTARILY SIGN BELOW.
Signature*

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Cuddle session with Don

About you

Statements of Agreement