Name
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First Name
Last Name
City of Residence
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Age
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Occupation
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Gender & Pronouns
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Sexual Orientation
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Email
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Phone Number
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Have you been in a Female-Led Relationship (FLR) or D/s dynamic before?
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Never
Once
More than once
Very experienced
Have you ever served a Pro-Domme?
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Never
Rarely
Occasionally
Often
Describe where you are in your BDSM journey - be clear and honest
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How do you want to feel during a session? (Choose from the examples below, or add your own.) Worshipful, devoted, useful, of service, imprisoned, objectified, humiliated, exposed, embarrassed, held, overwhelmed, helpless, obedient, powerless, restricted, punished, trapped, forgotten, suffocated, ignored, bound, trained, transformed, ego death, adored, weak, silent, broken and being put back together, empowered.
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Fetishes - List materials, objects, or body parts you crave. (Examples: leather high heels, nylon stockings, silk scarves, latex gloves, feet, etc.)
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Kinks - List activities you enjoy or long to explore. (Examples: bondage, mummification, breath play, CBT, knife play, impact play, electro play, sissification, himbofication, needle play, sensory deprivation, worship, chastity, tease & denial, pet play, tickle torture, nipple torture, ethical fin dom, sensation play, CFNM, mind-fucking, service maid, face slapping, etc.)
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Which of these apply to you?
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I want to be changed
I want to explore
I simply want to be near you
Other (describe in your own words)
If you chose other above, describe here
What specifically drew you to me?
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How often do you wish to serve?
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Once
Occasionally
Weekly
Ongoing with devotion
What value do you think you can bring to my life?
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Describe your favorite fantasy.
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Describe the best session you've ever experienced
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Describe the worst session you've ever experienced
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Positive trigger words (words you enjoy hearing during a session)
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Negative trigger words (words you do not want used)
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Hard limits - Activities you will not consent to under any circumstance
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Soft limits - Activities you are unsure about, or would only consider for me
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Describe your relationship to pain
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Submission, devotion, or worship - which word defines your deepest desire for me? Explain why.
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In your eyes, what defines a good submissive?
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Why do you believe you are one?
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What do you still need to learn or improve as a sub?
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What skills, resources, or expertise can you offer to enhance my life?
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What makes you interesting or valuable outside the BDSM sphere?
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Anything else I should know before I decide if you're worth my attention? This is your last chance to impress me - or fail to.
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How many hours?
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Type of session
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Where did you find Me?
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List at least two of your most recent references (providers). Complete with their email & phone number
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Do I have your consent to film or photograph our session?
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