= REQUIRED
(Real)  Name:


Home Base:
(city/st.)

Valid Land Line:
(work, home, hotel)

Best time to be
reached:
Actual Age:


Local Location:
(city or area)

Valid Cell
Phone:
Married
Single
Status:
When leaving a phone message, we address Ourselves as "Miss K from MK Inc."
EMAIL address:
(in which you check often, as we will contact you here)
MAKE SURE IT IS SPELLED CORRECTLY!!!
SPECIFICALLY, when are you wanting to get a session?
(Thurs 9/21/08 at 9pm, Sunday at Our convenience, etc.)
DECIDE A TIME FRAME BEFORE SUBMITTING THIS FORM!
YES
 YES
Experienced in Internet or
Phone Sessions?
Experienced in Real Life
Sessions?
NO
 NO
Level of Real Life Experience:
Novice, Newbie, Amateur
 Some Experience, Few Sessions
 Trained, Taught, Old Pro
Sexual orientation:
 Straight
 Bi Sexual
Gay
 Bi Curious
Specifically, where did you read about or link to us?
(Help us determine what works and what doesn't)
As if your opinion matters, what do you like or dislike about this site/sessions?
Specifically, what are your  
tolerations and limits?
Specifically, what are your
desires, fantasies or fetishes?
If experienced, describe your worst
session experience:
If experienced, describe your best
session experience:
Do you have any medical, emotional,  
or physical concerns or issues?
What is your favorite session scenario?
Choose the actions that
DO
interest you.
Hold down the Ctrl key to make multiple selections
ARE YOU REQUESTING:
OR
IN-CALL
OUT-CALL
We come to your location
you come to Our location
CHECK BOX TO
REQUEST A 1-DOMME
SESSION WITH
MISTRESS KARINA
CHECK BOX TO
REQUEST A 1-DOMME
SESSION WITH
MISTRESS KAREZZA
CHECK BOX  TO
REQUEST A
2-DOMME SESSION
ARE YOU REQUESTING TO AVOID THE DEPOSIT?
IF SO, CHECK THE BOX BELOW!
FOR OUTCALLS, YOU MUST PROVIDE THE LOCATION.
UNDERSTAND THIS: WE DO NOT GO TO ALL HOTELS, NOR ALL AREAS OF TOWN!
DESIRABLE LOCATIONS ONLY!!

WE WILL CALL TO VERIFY YOUR ROOM INFO, BEFORE WE LEAVE TO MEET YOU!
*TO REQUEST THIS OPTION, CHECK THIS BOX!*

ONLY OFFERED TO OUTCALLS - DEPOSIT ALWAYS REQUIRED FOR INCALLS
I AM REQUESTING TO AVOID THE DEPOSIT
SUBMIT THE QUESTIONNAIRE WHEN:

  • YOU HAVE DECIDED WHAT DAY & TIME YOU WANT YOUR SESSION
  • YOU WILL PROMPTLY ANSWER OUR EMAIL OR PHONE CALL
  • YOU ARE READY TO COMMIT TO A SESSION
Some questions may not apply to you, just answer the ones that do.
We will contact you via the email address you provide.
WE DO NOT CATER TO QUESTIONNAIRES!!! THEY ARE AN INTRODUCTION TO YOU AND WHAT YOU
ARE "INTO". IT IS COMPLETELY UP TO US WHAT YOU GET AND WHAT YOU DON'T. PERIOD.

YOU ARE NOT EXPECTED TO ENDURE ALL THAT WE OFFER. BE SPECIFIC ON YOUR
QUESTIONNAIRE OR WE WILL ASSUME YOU ARE UP FOR ANYTHING!!!
We do NOT play games and do NOT care who you are!
We RESPECT your privacy & EXPECT the same from you!
Release all control and do as you
are told, slave!
Mistress K