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. 202-913-4602.

Thank you,
Mistress Tiffany & Associates
  • Your first name is fine and last Initial if you do not wish to use your full name.
  • - -
    This is not required.
  • Session Information

    Please fill out this section as honestly as you can so we can understand what you're looking for.
  • If you are seeking a double or a trio please describe with who below in comments.
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  • Please make sure you are familiar with what the desired Domme that you want to see offers and does not offer.
  • This is NOT intended for clothing request. This is for those who have specific fetishes that go with their session.