HOME
ABOUT MISTRESS
SERVICES
BLOG
CONTACT
LINKS
Appointment Questionnaire

To gain the most from your session, I would like you to fill out the attached questionnaire.  Please take your time completing all questions, and don’t omit or wait until we are in session to tell me.  I session best with people who are open and honest, the more I know about you the more I can get inside your head.

In completing the questionnaire, I expect you to tell me honestly about your level of experience. There is no point in coming along hoping for a cruel single tail whipping when you’ve had nothing more than a bottom slap before. Some things need working up to. 

Your health and well being are important to me. I will spend a short time talking to you before the session begins to go through the questionnaire in person so please be prepared for this.  The more complete a picture I have of you the better I am able to tailor the session to your needs.

Please be aware if visiting for the first time that many slaves/submissives have a fantasy of how things will develop. Mostly these fantasies include everything the slave/submissive has thought about over the years. To bring all of this into one session would not be realistic nor would it be wise. Therefore I ask new slaves/submissives to be open minded in their desires. I will follow the general idea of what a client wants but will aim to enhance this with my own ideas. With a highly creative and somewhat wicked imagination such as mine, I feel sure that you won’t be disappointed with the result.

REMEMBER; don’t be shy when completing the questionnaire, tell me about the scenario you desire, I am a flexible and creative; and am willing to consider all manner of sessions.

Before being accepted for a session with Mistress Strict, you are required to fill out a questionnaire.  This will ensure that you are able to receive the most from our time together.

Copy the whole document below,
 paste it into a word file,

Complete and mail to :- mistress@strict.com.au

Client/Slave Questionnaire
(Be as honest as possible to gain the most from your session.)

Name (Slave name is fine)                                                           

Appointment Date/s Requested
(provide 2 alternative dates where possible)

                                                                                               

Preferred time                                                                            

Contact Telephone Number                                                          

Time appropriate for Mistress to call to speak with you about your appointment?

                                                                       

Age                                          

Height                                              Weight                             

Medical Conditions:-

Any Allergies                                                                     
Heart Conditions                                                                
Blood Pressure Issues                                                         
Asthma or other respiratory issues?                                      
Epilepsy?                                                                          
Diabetes?                                                                         
General Medical/health problems                                          
                                                                                       

Do you smoke?                          Do you drink?                            

When was the last time you visited a Domina?                                       

Agreed or personal safe word                                                       

Able to leave marks, how long                                                     

Which best describes you –

Submissive

Masochist

Slave

Sissy

Other                                       

Fetishes - Give brief description

                                                                                                              

                                                                                                            

                                                                                                            

                                                                                                             

                                                                                                           

                                                                                                            

                                                                                                          

Miscellaneous – You are invited to add additional comments, role-play scenarios and ideas but my acceptance is never guaranteed! 

                                                                                                              

                                                                                                            

                                                                                                            

                                                                                                             

                                                                                                           

                                                                                                            

                                                                                                          

 

Please rate these activities you are willing to try at the moment

Rate from 0 = No thanks!             To 10 = Yes please Mistress!

Feel free to make additional comments
Activity Rating and Comments

Blindfold    
Boot/Foot Worship    
Bondage    
Caning    
Clamps (Nipples)    
Clothes Pegs    
Cold Showers    
Collars    
Cuffs    
Face Slapping    
Following Orders    
Forced Feminization    
Gags    
Hair Pulling    
Heat Sprays and Creams    
Hoods    
Hot Wax    
Housework/Domestic    
Humiliation    
Level of verbal humiliation 0 to 10    
Level of physical pain 0 to 10    
Kneeling    
Nipple Torture    
Paddles    
Riding Crops    
Role Play    
Sensory Deprivation    
Sissy Maid Transformation
Do you have your own uniform?
   
   
Spanking    
Tickling    
Verbal Abuse    
Whipping/Flogging    
Willing to try anything you desire Mistress!!!    

Finally, you are reminded that there are No Personal Services available or sexual contact of any kind.
Domination is not Prostitution.

 

 
HOME  .   ABOUT .   SERVICES  .   BLOG  .   CONTACT  .   LINKS
  © STRICT  -  2007