EmailMe Form -

Email *
Name: *
Full name is optional, minimum requirement is your legal first name.
Nickname:
I am a... *
I would be lucky to serve... *
Age: *
Country: *
Sexual Orientation:
Relationship Status *
Employment Status *
Other:
What do you do for a living? *
Pay Schedule: *
Other:
What type of realtionship are you looking for?
(Check all that apply) *
Strictly Online
Strictly Real Life
Online and Real Life Interaction
Webcam Interaction
Whatever the Goddess will allow
Other
Other:
How often do you plan to tribute/gift to your goddess?
(Check all that apply) *
As able to due to low income
Daily
Weekly
Monthly
Per Session
On Special Ocassions
As Commanded by the Goddess
Fixed Amount: *
If no fixed amount, enter N/A
Previous Ownership/Experience:
(If none, fill in "N/A") *
Your Fetishes, Kinks, Fantasies, Desires, Wishes, etc.: *

Evaluate your interest in the following activities: ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ (Soft Limit = Activity you do not like but WOULD partake in; Hard Limit = Activity you do not like and would NOT partake in; N/A = Lack of knowledge on activity in question) *

	I Need This	I Like This	No Strong Opinion	Soft Limit	Hard Limit	Unsure, Willing to Try	N/A
Financial Domination
Foot Worship
Body Worship
Hypnosis
Assignments/Tasks
Tease and Denial
Chastity
CBT
Cuckholding
Name Calling/ Degradation
Objectification
Manipulation
Humiliation
Public Humiliation
SPH
Sissification/ Feminization

Any activity, fetish, kink, or fantasy you like that is not included on the survey above, and how you'd rate it if listed:
Why should I consider you for my time, attention, and pleasure? *
Extra Comments:
I fully understand that your majesty's time and attention amungst other services are not offered for free *
Yes
No
I am acting on my own free will and my participation in Financial Domination is consensual *
Agree
Disagree

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