Your Name:


Your E-mail Address:

What is your age / DOB

What is your gender: Male Female Transsexual

What is your education?

What is your occupation?

What state/province are you in?

(or country if outside of North America)

What time zone are you in?

Your Yahoo Instant Messenger ID is:

(If you do not have yahoo download it before you make a booking)

What is your availability for the next 7 days?

What length of session are you looking for?

(I highly recommend at least the full hour for first time inductions)

Describe what fantasies you have

(Be as explicit as possible, give me scenarios.
 If you have a strong fetish for something
or a powerful memory, name it and describe
 what kind of scenario would make you so aroused you feel weak.)

Describe your previous experience of trance or any BDSM experience.

Tell me the topics you find of particular interest i.e. Sex, oral anal, kissing, role-play, taboo topics, bdsm, adult baby, humiliation, serving, submitting, Feminization, Humiliation, Objectification etc

Tell me your turn ons
(you are free to express what ever desires you have)

Tell me what turns you off

Sexual preference -You are:

Attracted to men

Attracted to men but curious about women

Prefer men

Bisexual

Prefer women

Attracted to women but curious about men

Attracted to women

Attracted to TG's

Describe your ideal Mistress / Hypnotist:

Traits you desire in your Mistress/Hypnotist

Attitudes you desire in your Mistress/Hypnotist
i.e Caring, Seductive, Seductive but growing ruthless,
 Ruthless and insensitive Domineering, Cruel and humiliating,
Evil and manipulative

Limits, things you don't want, Phobias or allergies you may have.

Are you living with other people? Yes No- who

Do you have children or other dependants who might need your immediate attention during a trance session? Yes No who

Do you currently have a sexual partner or
spouse or serve a Domme? Yes No-Details

You agree to be forced to do, or made to want to do certain things?

What can you afford?
Tick what applies

Regular online sessions

Occasional online sessions

Regular download sessions

Occasional download sessions

Just one session if I save up

I can't afford anything...

What is your wish? What are you looking for in our session?

When were you looking to have a  session?

Have you already signed up with alert pay to make payments?
(If not you should do this now)

Have you prepaid? Include your Alertpay Payment Code:

Any other information you wish to offer?