Client Screening

 If you are looking to share an intimate moment with me, please provide a little information about yourself...

*You may text or email me the following*: 

*Screening is required before securing an appointment*

 

• Name*

• Age*

• Ethnicity*​

• Are you seeking an incall or outcall appointment? (If outcall, provide desired location)*

• 2 or more references* (Example: a valid reference would be the name and contact information of an independent provider, who is currently still advertising. Must be from a provider that you have had a successful date within the last 90 days).   

  Optional:

• Current Residence (City + State)

• Desired Appointment Time (Date + Time)

• Desired Length of Appointment*​​ (1 Hour Minimum) 

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