The Danny Gold Experience

Please fill out the following form prior to your first appointment or consultation so that I may have a complete picture of your needs and desires. Then, you may book a phone consultation with me for $44 (this will credit toward your deposit should you choose to book.

This form is secure, sent straight to my email, 100% confidential, and only seen by and me.

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New Client Discovery Form

Please provide complete, accurate information for the quickest screening and best experience!

About you

Full Legal Name

Phone

City of residence

Birthday

Gender

Man

Woman

Non-binary

Trans

Other

Sexual Orientation

Straight

Bisexual

Gay/Lesbian

Pansexual

Discovering

Your Power Identity

Top

Bottom

Dominant

Submissive

Switch

Provider References

Other screening info

Where did you find my ad?

The session

Date & Time requested

Services Requested:

DGE

Shadow Work

Retreat

Medicine Journey

Special Date Package

Virtual Services

What are your goals?

Any health concerns? Turn offs?

City of Appointment

Length of Appointment

Session Location

Incall

Outcall to home

Outcall to hotel/bnb

What is your prior experience?

Turn ons? Special requests?

Personal Message

I understand that in-depth screening and government issued ID will be required for in-person sessions.

Thanks for submitting! I will contact you within a few hours Monday-Saturday!

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