Full name (as shown on your ID or passport)
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First Name
Last Name
Preferred name
Email
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Gender Identity
Check all that apply.
Phone #
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I understand that I will provide a photo ID OR at least 2 professional references for screening.
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I understand that a non-refundable deposit of $100 is required to secure my spot on Miss Arden's schedule.
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Provide references from any other pro-Dommes or providers whom you have served.
(Email addresses, websites, social media accounts, and phone numbers aid in contacting providers and verifying your references.)
Have you been vaccinated against Covid-19?
Session Location:
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The Dom House in Saint Petersburg FL
Outcall in the FL Tampa Bay area (+$)
Outcall in another state (+$$$)
Online– Texting phone or video call
What is your level of experience?
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Very experienced
Moderately experienced
I have a little bit of experience
I am a complete novice
Have you ever served a professional Dominatrix before?
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Yes
No
Do any of these traditional BDSM roles resonate with you?
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Slave
Submissive
Bottom
Masochist
Maid
Sissy
Pet
Rope bunny (rope bottom)
Switch
I hope to learn from you, Miss.
In your perfect fantasy, what is your Mistress's disposition?
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Are you willing to take pain for me?
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Willing is an understatement! I love severe pain
Moderate pain is okay with me
I'm inexperienced but I'd like to try a little
No pain for me please!
May I leave marks on you?
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Yes; I love the reminders of our time together
Yes; but only if they aren't visible
Maybe; we would need to negotiate it
No marks for me please Mistress
Would you like Mistress Rogue to join us for a double Domme session? (+$$)
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Yes; I'd love to serve two Mistresses at the same time
No; I only want to serve you
Are you comfortable with our session being photographed/filmed?
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Yes and I don't mind if my face shows
Yes but I'd like my face hidden
No but maybe in the future
No I'm not comfortable
If so, are you comfortable with Mistress Rogue behind the camera?
Yes; Mistress Rogue may document our play-time
No; I'd like our session to be private
Check the fetishes you're interested in exploring during our time together.
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(Session length will affect how many of these we can touch on.)
General Session Desires
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(Please note: requests for sexual services will not be acknowledged or responded to)
Would you like to schedule a 15-minute pre-session phone or video consultation? (+50, +100)
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Yes; a phone call please
Yes; a video call please
No thank you
How do you hope to feel during our session?
(for example: vulnerable, small, degraded, confined, humiliated)
Do you have any clothing requests?
If I don't have an item you're seeking, you may purchase it for me for our session.
What else does your Mistress need to know?
Use this space to inform me of any medical conditions, injuries, psychological triggers, etc., that you may have.
