Pro-Domme Session Interest Form | Siren Says

to inquire about booking siren, fill out the general inquiry form or email sirensaysxx@yahoo.com

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Pro-Domme Session Interest Form

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Rope Session Interest Form
Rope Bottom Resources
Pro-Domme Session Interest Form

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Name*

Pronouns*

Email*

Phone number*

Birthdate*

Instagram/FetLife handle*

Please list a kink reference or how you found me.*

Do you have health insurance?*

Yes

No

What kinky activities are you interested in?*

Power Exchange

Bondage/Rope

Humiliation/Degradation

Service Submission

Foot/Body Worship

Financial Domination

Sensory Play (Deprivation/Overstimulation)

Something else

Are there other kinky activities you are interested in adding to a scene? Elaborate as much as you can (informed consent!)*

What feelings, colors, emotions, experiences or dynamics are you looking for in a session with Siren?*

Are there parts of your body that you do not want to be touched or stimulated?*

Are there parts of your body where you are experiencing pain currently or chronically?*

What types of touch do you like/dislike? Examples include caresses, scratches, squeezes, pinches, tickles, impact, etc.*

Do you have any medical conditions or take any medications that could impact your experience in rope? Examples include treatment for allergies, asthma, diabetes, low or high blood pressure, nerve conditions and seizures.*

What is your understanding of the risks of kink? How do you assess your personal risk profile?*

Are you aware of any trauma or triggers you have that could be activated by kinky play?*

If you have a heavy emotional or physical reaction to kink, what type of support would you like me to provide?*

Is there anything else I should know about your body or mental health that could be relevant to a kink scene?

Describe your experience with rope/kink.*

Describe your consent and negotiation practices.*

What are your safe words/actions?*

What are your hard limits/boundaries? Examples include "no rope on my feet" or "don't put a blindfold on me."*

What are your soft limits/boundaries? Examples include "check-in before any inversions" or "no impact play until I ask for it."*

What are your "fuck yeahs?" (Elements of kink you enjoy/want to try)*

Have you had your boundaries crossed, consent violated or been harmed while engaging in kink? Please explain.*

Have you crossed boundaries, violated consent or caused harm while engaging in kink? Please explain.*

What are your aftercare needs and wants?*

Emergency contacts*

Were any of these questions difficult to answer? If so, please explain.

By submitting this form, I agree to the following statements: -I am over the age of 21. -I understand the dangers associated with kink and power exchange and have decided they are within my risk profile. -Everything I have shared in this form is true to me, my experience, and what I am looking for. -If anyone experiences harm during our session, I will partake in an accountability/mediation process.*

Yes

No

I agree to have pictures/videos of me taken during the session.*

Yes

No

I agree to having my pictures/videos shared on social media.*

Yes

No

I understand that submitting this interest form does not guarantee booking, and that Siren has the right to decline a session for any reason. Please wait for a confirmation email, and prepare to be vetted before scheduling.*

Yes

No

Please use this section to ask any questions or add any additional information.

Siren Says

Pro-Domme Session Intake Form

Where to Find Siren

For safety reasons, Siren does not accept Instagram or FetLife friend requests from everyone.

If we've met, please send a DM with as much context as possible. If you have a booking request, please fill out the above form or send an email.

sirensaysxx@yahoo.com

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