Surrender questionnaire. Membreign

Client Questionnaire

Name:

Age:

Pronouns:

Preferred Contact Method (email, phone, messengers, etc): How would you rate your experience level in BDSM?

Beginner Intermediate Advanced

What are you seeking to explore in your sessions with me? Are there specific kinks or fetishes you wish to explore? Have you had prior experiences with a dominatrix? If yes, please describe. What are your hard limits? What are your soft limits? Do you require any specific aftercare following a session? If yes, please specify. Are there any medical conditions or medications that could impact our session? How can you contribute to my artistic vision or support my work?

I confirm and acknowledge that Marquise Adelaide is strictly a BDSM professional and does not offer nudity or sexual services.

I confirm that I will provide identity verification (ID, driver’s license, etc.) before session.

I understand and agree not to inquire about anything outside of Marquise Apolline's stated interests.