You should proceed if:

You have good hygiene and good manners, punctuality, timely and clear communication, are able to give 24hr advance notice in the event of rescheduling or cancellations.

Yes thats me!

Name *

First Name

Last Name

Have you seen a Professional Dominant before? *

Yes

No

Length of session

Hours

1 ($400)

1.5 ($575)

2 ($700)

2.5 (925)

3 (1,100)

Social ($200/hr)

Other

How do you want the Goddess to make you feel during and after our session?

Select all that apply

Humilated

Frustrated

Cared for

Like an object

Cathartic

To be able to let go

Fearful

Violated

Physical pain

Satisfied

Euphoric

Any medications?

Any for chronic or acute conditions, any medications you will be taking prior to your session?

Yes

No

Screening preference *

Either a reference from an Service Provider active within the last year or a verifiable source of ID

ID

Linked/in

Reference from an SP

I understand that this form does not guarantee a session until deposit/screening is complete.

Yes