Questionnaire

Name

E-Mail

Phone

Origin

Age

Health check

High blood pressure

Blood coagulants

Asthma

Allergy (silicone, latex)

Pacemaker

Epilepsy

Previous stroke/heart attack

Casting or film shoot

Desired topic of the casting / film shot

Duration of the casting / film shot

Casting 60 minutes 300 €

Casting 120 minutes 550 €

Film shoot 60 min 450 €

Film shoot 120 min 750 €

Duaration of the session

Extra´s

Desired date

Alternative date

Ladies choice

Option - Concentrated eroticism

Session in a duet with a sexy TV lady (+300 € per hour)

Session in a duet with a touchable lady (+300 € per hour)

Option - Bi slaves

No thanks, the mistress is enough for me

Yes please with a Bi-Boy (+ 150 €)

Yes please ... I want to experience my own gangbang movie (+ 150 € PER BI-BOY)

I am/want to...

Degree of education

Inexperienced

I bring experience

Experience

Sexual orientation

Heterosexual

Bisexual

Transsexual

Gay

Humiliation

Total humiliation

Sado mediocre

It doesn't excite me when I'm humiliated.

Masochistic

Not at all

Easy

Medium

Passionate

Traces of acceptance

No traces

Traces for a few hours

Traces for several days

RUBBER TECH TORTURE (Only possible with 120 min booking!)

Please only fill in when booking an RTT session!

No electricity

Current at the nipples

Current on the penis

Current on the testicles

Current in the urethra

Current in the anal area

LATEX SESSION

Please only fill in when booking an latex session!

Completely enclosed

Vacuum

Inflated

Dress size

Shoe size

Head size

CLINIC SESSION

Please only fill in when booking a clinic session!

Clinic session

Clinic rubber session

OP simulation authentic (patient is resting!)

Including catheter

Including speculum

Including needles

Including injections

Including shaving

Including stitching

SISSY TRANSFORMATION

ANAL PLEASURES

Please only fill in for an anal treatment!

Enema by the mistress (+25.00€)

I come clean to the session

SLAPS

NIPPLE TORTURE

CBT (cock & ball torture)

YELLOW SHOWER (pee)

BROWN SHOWER (scat)

ORGASM

You want the mistress...

You see the mistress in...

The mistress carries...

Feedback on your cell phone is...

Termin Anzahlung

Advisory

Discussion by telephone about the processes 50 €

Message

Questionnaire

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