Questionnaire
PLEASE NOTE: Twenty-four hour notice required for all appointments. Appointments booked more than 24 hours in advance require a 50% deposit. No appointments accepted without submission of this completed form. Where not applicable, simply leave blank. If you have problems with this form please contact us at adminsupport(@ symbol)goddesssonya.com
Describe yourself ( Multiple items may be selected )
| Sexual Orientation |
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List any conditions or injuries (past or present) that may preclude session activities:(Inlcude phobias, surgeries, sports injuries, diseases)
List any hard limits:
(i.e. Activities that you would absolutely never consider doing under any circumstances):
| Is Marking Permitted? |
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Specify any limits:
List main interests:
Wardrobe request:
Rate your interest in the following activities
Very Interested, Somewhat Interested, Not Interested
Punishment
| Single Tail |
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| Spanking |
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| Paddle(leather) |
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| Paddle(wood) |
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| Belt |
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| OTK |
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| Flogging |
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| Caning |
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| Whip |
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| Riding Crop |
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Bondage
| Rope |
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| Restraints |
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| Gags |
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| Genitals |
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| Cuffs |
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| Spreaders |
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| Suspension |
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| Breasts |
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| Sleeves |
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| PlasticWrap |
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Torture/Teasing
| T&D |
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| Chastity |
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| Hair Pulling |
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| Nipples |
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| Clothespins |
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| Hot Wax |
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| Ball busting |
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| Genitals |
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| Breath Play |
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Humiliation
| Spitting |
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| Foot-worship |
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| Kneeling |
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| Crawling |
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| Leash |
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| Verbal Abuse |
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| Face slapping |
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| Forced fem |
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| Forced bi |
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| Public |
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Sensory Deprivation
| Blindfolds |
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| Hoods |
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| Ear Plugs |
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Other Activities
| GS |
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| BS |
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| DT |
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| Fisting |
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| Enema |
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| Body Worship |
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Any additional comments
Disclaimer
I understand the information I provide is strictly confidential and that Goddess Sonya does not provide sexual services, only BDSM & Roleplay services. By submitting this form, I release Goddess Sonya from any liability and agree that anything done to me as a result of this information is consensual and strictly for entertainment purposes. I further agree that I am over 21 years old and have answered all questions honestly and openly.
Please check this box to accept the terms and conditions above before submitting this form
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