Pre-session form

by LadyShibari77 21/11/2022

Name/scene name: *

Phone number: *

Note: I will not call you unprompted, but I require phone confirmation before session.

Date proposal: *

Studio is open beween: 12AM-11PM, any exceptions must be discussed beforehand.

E-mail *

Deposit payment method: *

Deposit is 100PLN per hour of session. Rescheduling possible 24hr before agreed upon time.

COVID-19 vaccination status *

This information is crucial in planning appointment times.

BDSM practices you wish to experience: *

Limits on above practices: *

eg. no marks, no makeup, no use of certain words

Practicess you don't want to experience: *

Write down things you don't want

List of every serious bone/tendon/ligament injury you ever had: *

This is CRUCIAL if the session will involve any form of bondage or force.

Chronic ilnesses (those under control as well): *

eg. hypertension, diabetes, heart problems (having a pacemaker) panic attacks

Have you experienced sexual violence or coercion? *

(me knowing this is important in creating a safe environment during the session)

Have you experienced DV or IPV? *

Before the session:

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