To bypass my booking form, please copy and paste these questions into an email to

Full Legal Name:




City of residence:






Sexual Orientation:

Do you identify as a top/bottom, sub/domme/switch?

Are you attracted to masculine or feminine energy? Or Both?

Date & Time requested:

Services Requested:


City of Appointment:

​Length of Appointment:



If outcall - To where?:


If outcall to home do you have pets, smoke indoors, live with anyone, have nosy neighbors?

If "yes" please explain:

What is your prior experience?

What are your goals?


Turn ons? Special requests?

Any health concerns? Turn offs?


Personal Message:


Provider References:

Other screening info:

Do you understand that in-depth screening and government issued ID will be required for in-person sessions?