Name / Alias

Age

City

Phone #

You do not wish to be contacted by phone You do not wish to be contacted by phone You prefer emails You prefer to contact me when you can

Mail (mandatory if no Phone #)

Availabilities Availabilities Week Week-end Evenings only

Experience Experience Absolute beginner Fairly new to BDSM Experienced You practice BDSM in your private life It is the first time you get in contact with a pro Dominatrix

Tell me more about your experience ? References (Name of Dominatrix and city)

Let me know about you : your wishes, fantasies, and any other suggestion/ valuable information.

What are your soft and hard limits, if you know them ? Soft limits can be pushed, with caution ; hard limits are a no-go.

Do you have any motricity issues, allergies, medical specificities that may impact your BDSM practice? Do you have any motricity issues, allergies, medical specificities that may impact your BDSM practice? Motricity issue/ difficult position Allergy / intolerance (for food play) Claustrophobia / other phobia Pace maker (for electricity play) Problems of blood circulation (for bondage) Reactive / sensitive skin (for wax, impact play)

Explain a little more, if you wish

You may not be a submissive, you may be : You may not be a submissive, you may be : Masochist Fetishist Brat (you like to play resistance and rebellion) You like playfight

My conditions : My conditions : You have read my conditions and you accept them

You have taken notice that I don't do incall : You have taken notice that I don't do incall : I will meet you at your hotel