EmailMeForm
Questionnaire
If you're interested in booking an appointment then please fill out this form in full.
All information is confidential and deleted once reviewed.
After you fill out this form you are responsible for calling to reserve your appointment. Filling out this form does NOT hold your appointment slot or guarantee an appointment. Please call after you have filled out this questionnaire between our regular phone hours.
Calls are accepted Monday-Saturday from Noon-10pm. 202-709-5634.
Thank you,
Mistress Tiffany & Associates
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Name
Your first name is fine and last Initial if you do not wish to use your full name.
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First
Last
Your first name is fine and last Initial if you do not wish to use your full name.
Email
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Confirm
Phone
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This is not required.
Age
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Session Information
Please fill out this section as honestly as you can so we can understand what you're looking for.
Who do you wish to have an appointment with?
Head Mistress Tiffany
Mistress Magnus
Duo Session
Date Time of desired appointment (Option 1)
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Date Time of desired appointment (Option 2)
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AM/PM
Appointment duration:
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1 hour
90 minutes
2 hours
3 hours
2 hour out call
3 hour out call
Duo sessions with Tiffany & Magnus 2 hours $800
Duo sessions with Tiffany & Magnus 3 hours $1200
Duo sessions with Tiffany & Magnus 5 hour dinner & Play $1500
Duo sessions with Tiffany & Magnus our slave for the day or night $3200
coffee/cocktail/in person meet/consult
Lunch/Dinner consultation
5 hour dinner & play session
8 hours short overnight or full day
12 hours overnight
24 hours
Other
Please keep in mind that each Mistresses rates vary. Make sure you visit their website for full rates/donations.
Desired Appointment location:
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Incall at our fully equipped playspace
Outcall at your house/apartment (2 hour minimum)
Outcall at your upscale hotel (2 hour minimum)
Check all that interest you:
Make sure you read & know your desired Dommes interests & boundaries as each associate has different experience and interests.
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Bondage
Sensual Domination
Body Worship (Nothing Nude)
CBT and/or CBB
Foot/leg/shoe/boot fetishes
Pantyhose/stocking fetish
Smoking Fetishes
Sploshing/WAM
Tickle torture
Infantilism/AB/Diaper Lovers
Nail Fetishes
Nipple Play
Smothering/Breath play/Choking
Teasing and Denial
Chastity
Toy play
Face sitting/smothering (nothing bare)
Trampling/crushing
Mummification
Face slapping
Hair pulling
Spitting
Humiliation/Degradation
Cross dressing/sissy training
Woman handling/Physical Domination
Role playing
Electro play/tens/violet wanr
Medical play/sounds/caths
Temporary piercing/needles
Enemas/Water retaining
Whips/floggers
Whips/single tails (stingy)
Paddles
Canes
Corporal Punishment
Shaving/Hair removal
Counseling/coaching
Other
Please make sure you are familiar with what the desired Domme that you want to see offers and does not offer.
Please list any other interest you may have:
What personality best suits your session?
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Sensual/demure
Seductive/teasing
Bitchy
Aggressive
Quiet and emotionless
Strict
Playful
Laidback
Friendly
Please list any specific clothing fetishes that are important to your session (nude is NOT an option).
This is NOT intended for clothing request. This is for those who have specific fetishes that go with their session.
Any other comments, questions or statements you may want to add?
What area would you like to see Me in?
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N. VA area (My main location)
Pennsylvania (touring)
NYC (touring)
Other (indicate where in the comments section)
My home based area where I am located is the DC/Northern Virginia area. I have added locations where I have upcoming tours. If you were wanting to see me while touring, please select the appropriate location.
Keep in mind when Touring I require a two hour minimum and there is an additional (Touring rates may be a little higher then My base DC/NOVA rates). I do require a 50% deposit when touring too locations outside of the DC/Northern Virginia area. Thank you for understanding.
