To ensure a fulfilling session for both of Us/us, your Goddess needs some information about you.
The more detail you provide the better your session will be.
All information is kept in the strictest of confidence and is used solely for the purpose of planning your session.
(Please copy and paste into an email and return to Me for consideration)
My email address is: DominationFl@gmail.com
Date/ Time requested:
Duration of session:
Your name and last initial:
Cell phone number:
Your location:
Age: Physical description (height, weight, etc.):
Marital Status: Occupation: Medical Concerns, Physical Limitations:
Viagra and other erection enhancing medications:
It is not recommended that you take this class of medication prior to a BDSM session. BDSM activities are exciting by nature and combined with Viagra or similar drugs, undesired side effects like shaking, dizziness and even fainting can result. If you do take an erectile enhancing drug prior to our session, be sure to disclose this so I can take the necessary precautions.
Phobias, Abuse Issues: Eyeglasses, Contacts? Can you be marked? If so, for how long?
How long have you been involved in BDSM activities?
Do you have references from other Dommes (local, national or international)?
ACTIVITIES I AM INTERESTED IN: (Choose all that apply and list specifics. Delete the rest.)
Medical Sessions
o Doctor or Nurse (patient sessions)
o Medical uniforms & costumes
o Full physical examinations using medical devices
o Rectal examination & temperature taking
o Prostate examination
o Forced masturbation
o Physical restraints & gags
o Introduction of frozen or heated materials to body
o Prostate Probing
o Toy Training & Strap-on
o Silver (Fisting)
o Administering rectal suppositories
o Enemas
o Diapering
o Medical Sounding
o Pocket Pussy available
o Role play
Obedience Training
o Following orders, D/S Protocols
o Punishments versus rewards
o Corporal punishment
o Sensory deprivation; gags, hoods, blindfolds
o Humiliation, degradation
o Objectification, human furniture
o Scolding and verbal humiliation
o Spanking, paddling
o Flogging, whipping, caning, crops
o CBT, Ball-busting, genital torture
o NT, clothes-pegs
o Bondage- ropes, various restraints,
immobilization (light to inescapable)
o Face sitting ~ smothering
o Over the knee spanking (OTK)
o Hair pulling
o Toilet training ~ GS & BS
Puppy Training
o Collar & leash ~ doggie bowl
o Following orders ~ obeying commands
o Cage training
o House training
o Dog tricks
o Being chained
o Boot licking
o Walks (on the beach& Pee on a fire hydrant)
Foot Fetishes
o Foot Worship
o Barefoot, stockings, fishnets, thigh highs
o Stilettos, platforms, boots & fetish footwear worship
o Trampling (light to severe)
o Ball-Busting
o Foot soaks & massages provided for Goddess Aleya
o Wet & Messy (WAM) sessions
o Spitting
o Toilet Training
o Golden Showers
o Brown Showers (scat)
o Enemas
o Sitophelia (food play)
Adult babies ~ Infantilism
o Diapering
o Spanking
o Scolding
o Bottle Feeding
o Sissy Babies
o Tickle Torture
Extended sessions and overnights – references required
List any other activities of interest:
Want to share a fantasy? Go ahead, here is your chance.
How did you hear about Me?
Again, all information held in the strictest of confidence.
Special Note: Once we set an appointment, your punctuality is expected. You will be required to confirm your session one hour prior to the actual appointment by calling Me and getting directions. If you call late, I will be displeased. If you call more than 10 minutes late, your session will be canceled and a deposit will be required to reschedule. Your service to Me starts the minute we set your appointment. Serve Me well.
Goddess Aleya's Sanctuary 