Initial Contact Form

Initial Contact Form
Everything you enter in this form is encrypted.
Nothing you share with me is ever shared without your explicit permission.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Communication over email is preferred.
Location*
Where are you?
Duration*
I tend to prefer longer meetings to shorter ones.
Describe Yourself*
Pronouns, Age, Occupation, Hobbies, Etc
Time of Day Preference*
Day of Week Preference*
What are some of your interests?*
Please don’t write an explicit play by play. A short description of your interests or a list is perfect.
Any hard limits, limitations or health concerns?*
Use this to communicate any limitations you have, in scene triggers or things you need to avoid.
Screening

Screening is required for my safety and yours. Use a link that is easy to verify. If you do not enter a link, please fill out the bottom portions of this section with care.
First Screening URL*
Linkedin, Facebook, Twitter, Instagram or Professional Website
Second Screening URL*
Linkedin, Facebook, Twitter, Instagram or Professional Website
Third Screening URL
Linkedin, Facebook, Twitter, Instagram or Professional Website
Third Screening URL
Linkedin, Facebook, Twitter, Instagram or Professional Website
Additional Social Media Accounts
Please format as a link. Examples: Linkedin, Twitter, Facebook, Instagram, Personal website
Don’t have socials? Tell me about a passion of yours. Why is it important to you?*
Share something that matters to you and is personal. Explicit/kinky answers will be disqualified.
References
Websites or Emails of other Professionals you have seen. A name is acceptable if it has been a while. If you have no references, write N/A.
By checking here, I agree to confirm my appointment, *3 hours* before the scheduled start time.*

Yes
Should be Empty:

Initial Contact Form

Screening