Name
*
First Name
Last Name
Phone
*
(###)
###
####
Email
*
Preferred Contact Method
*
Text
Email
Age
*
Preferred Pronouns
*
Gender Identity
*
City
*
Have you ever served another professional Dominatrix?
*
Yes
No Previous Experience
Yes, but as a lifestyle/service sub
What is your level of lifestyle experience
*
No previous experience
Beginner
Intermediate
Seasoned player
24/7 Lifestyle
How would you describe your Lifestyle Alignment?
*
Please check all that apply
I acknowledge and agree that NO ILLEGAL OR SEXUAL ACTIVITIES OR SERVICES are being offered.
*
Yes, Goddex. I understand.
No, but I will not waste your time.
I acknowledge that I will be asked to provide identification to verify that I am of legal age and that I will be screened for safety prior to being considered for a session with Goddex Vicious.
*
I will not provide identification
Yes, I would be happy to prove that I am safe and of legal age
IRL or Virtual Session?
*
Realtime In Dungeon
Cashmeet In Public
Virtual Session Via Skype
Virtual Session Via Zoom
Desired Session Date
*
Goddex's preferred availability is Tues, Wed, Fri, Sat and Sun from 2pm-9pm PST. Inquiries must be made no less than 24hrs to desired appointment time. More is STRONGLY preferred.
MM
DD
YYYY
Session Type
*
Check all that apply
Session Temperament
*
Check all that apply
Session Activities
*
Check all that apply
Do you have any interests, desires or goals for O/our time together that are not listed above?
remember, no illegal or sexual activity or services.
Desired Pain Level
*
No pain whatsoever
Light
Moderate
Heavy
Extreme
Marks?
*
No
Discrete, or specific areas only
Yes please, make me Your canvas Goddex
AGAIN, I UNDERSTAND THAT NO ILLEGAL OR SEXUAL ACTIVITY IS BEING OFFERED AND THAT I WILL BE ASKED TO SCREEN FOR SAFETY WITH MY IDENTIFICATION
*
No, I won't waste Your time Goddex.
Yes, Goddex, I understand
