Session Questionnaire – Mistress Precious

+1 (713) 823-3906

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Questionnaire

Please be assured that any information you disclose will be used solely for the purpose of dealing with you as a client. All information will be kept strictly confidential, as I realize that discretion is of the utmost importance. Feel free, however to omit your last name, or even create a new name for yourself.

DO NOT FILL THIS OUT UNLESS YOU ALREADY HAVE AN APPOINTMENT!!!

CONTACT INFORMATION IS A MUST!!!!

DO NOT BORE ME!!!!

Name or Slave Name *

How did you hear of me? *

What is your age? *

Phone number you be discretely reached *

Email *

Please enter your email, so we can follow up with you.

What level of player do you consider yourself? *

How often do you play? *

How long have you been playing? *

What other Mistresses or establishments have you visited? *

List any BDSM organizations with which you are or have been associated: *

Briefly describe your experience in being submissive. *

Feel free to include other sessions you have had, relationships you have been in, scenes you have done at play parties, etc.

Do you have any injuries or medical conditions of which I should be aware? *

(i.e., bad knees, asthma, claustrophobia. etc.)

Briefly explain why you are worthy of My domination: *

Do you want to experience pain in your session? *

Indicated which of the following character types you would like in a Mistress *

Goddess
Biker Bitch
Doctor or Nurse
Teacher
Military Officer
Police Woman
Mommy
Auntie
School Girl
Leather Lady
Seductress
Employer or Boss
Head Mistress
Other

Indicate which of the following roles you identify with *

Slave
Student
Prisoner
Slut
Animal
Child/Baby
Patient
Masochist
Girl/Sissy
Other

Do you want to be restrained (in bondage) during your session? *

Can you be marked in any way during your session?

Describe your fantasy session: *

Anything else you would like me to know?

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