Welcome to my Survey!

Here you can fill out a series of answers so I can get to know a bit about what you are interested in.

* I respect your privacy. I will never share your personal details with third parties. I also recommend that you use a PRIVATE email to sign up and a nickname to extend that privacy. My content is obviously NOT SAFE FOR WORK so use common sense and be discreet to avoid getting into trouble!

Section 1 - Basic Details

Name or Nickname

Email Address

Mobile Phone Number

This will be our primary communication prior to a session

Age

Gender

Do you have any medical conditions?

Glasses / Medications / Asthma / High blood pressure

Do you have any special needs that need to be catered to?

Stiff joints / back injury / difficulty kneeling

Section 2 - Kink & Fetish Interests