Client Screening
Thank you for your trust and willingness in allowing me to explore your most intimate fantasies and deepest desires! ❤ Safety, comfortability and hygiene is of utmost importance to me! Therefore, it is pertinent that you fill form out in full - with correct and true information. Discretion is not only required, but is a must! Rest assured knowing I hold all information provided to me in the highest, strictest of confidence. In keeping with my desire to protect your privacy, this form is secured using HTTPS/SSL technology to encrypt your data. This prevents your personal details from being visible to a third-party. Knowingly providing false information will not only result in a block, but you will be blacklisted as well. I'm more than obliged to accept forms properly filled out with all correct info. Your screening form will be sent directly to my password-protected phone, and I will respond shortly. Thank you in advance and I look forward to our unforgettable time together!
About You
Name
First Name
Last Name
Physical description (age, height, eye/hair color)
Phone Number
-
Area Code
Phone Number
OK to contact via phone?
Yes
Yes, at prediscussed time
No, never
Accept text messages?
Yes
No
Email
example@example.com
OK to contact via email?
Yes
No, never
Where do you work?
Can you provide proof of where you work? Work badge/ID, paystub (you can block info you dont want shared)
Browse Files
Cancel
of
Can't provide proof of work place? Please upload ID (you can block address)
Browse Files
Cancel
of
Verification site ID
P411, PD, etc.
Board name and handle
List hobby board and handle
Appointment Information
When would you like to schedule?
-
Month
-
Day
Year
Date
Requested appointment time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Length of engagement
Where are we meeting?
Outcall/Hotel
Outcall/Your residence
Incall/My hotel (please provide 24 - 48 hours notice for incall)
Anything you'd like me to know:
Just making sure you're human!
*
Submit
Should be Empty: