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SCREENING

Complete My application to serve. I require thorough screening for all clients.

References from at least one verifiable and established professional Dominatrice that you have seen within the past 12 months. Include their contact information: current website and email address.
Or, driver’s license ID. Additional social and business links may need to be disclosed for verification.

Name

First Name

Last Name

Age

Phone

You are not contacted this way without permission

(###)

###

####

Preferred method of contact

How do you identify?

Select all that apply

Submissive

Bottom

Masochist

Slut

Pet

Fetishist

Toy

Sissy

Slave

Which style of domination to you most respond to?

Provide a concise and respectful introduction of yourself: your kink history and experience (lifestyle and professional), line of work, hobbies outside of kink

Tell me about your kinky self: I want to know and understand you as a submissive

Experience: Relevant BDSM experience

Why do you want to serve Me? What do you hope to explore in session with Me? List specific activities, fantasies, interests

Tell Me about your best session. Why? Tell Me about your best session. Why? Tell Me about your worst session. Explain.

Hard limits, fears, triggers, trigger words? This takes thought. Explain.

Health concerns I need to be aware of: pertinent medical conditions, certain medications, back or joint issues.

Elaborate

Session length requested (90 minute minimum)

How did you find me?

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Mistress Nacole