Initial Contact Form

Everything entered in this form is encrypted for your privacy.

Name *

First Name Last Name

Email *

example@example.com

Phone Number *

Please note if I cannot contact use this to reach out you if email does not work.

Location/Session Type *

Are you in Seattle, Traveling or are we going somewhere?

Duration *

I tend to prefer longer meetings to shorter ones.

Time of Day Preference *

Note: My Evening availability fills up quickly, please book as far in advance as you can. I will always do my best to accommodate tricky schedules.

Day of Week Preference *

Note: I only accept select bookings on weekends, so please ask with advance notice. I appreciate your flexibility.

What are your limits, any health concerns or things I should know?

Use this to communicate any limitations you have, triggers, elements that are critical to you. EG: That you can’t kneel, your pronouns, no marks, etc

What are some of your interests? *

Please don’t be explicit. A short description or list is perfect.

I understand that I need to reach out to confirm my appointment, *3 hours* before it is scheduled. *

Yes

Links to your social media accounts *

Please format as a link. Examples: Linkedin, Twitter, Facebook, Instagram, Personal website

Tell me about one of your passions. Why does it matter to you? *

Share something that matters to you and is personal, not kink related

References *

Websites or Emails of other Professionals you have seen. A name is acceptable if it has been a while.

Screening