Mistress Vixen 

    PROFESSIONAL DOMINATRIX

The Lords & Ladys

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Session application

Please copy and paste into your return e-mail to mistressvixenn@yahoo.ca

Name:

E-mail Address:

Specific Date for session:

If that date is not available:

What session are you requesting: Basic session 1         Basic session 2         Basic session 3         Basic session 4      

Length of session:

Answer The following in terms of pleasure, 0 being not interested at all, 3 willing to do if it pleases the Mistress, and 5 very interested in this activity , will bring me great pleasure.

Abrasion:

Age Play:

Anal Sex:

Arm/Leg Sleeves:

Asphyxiation:

Beating hard:

Beating soft:

Begging/Pleading:

Being Blindfolded:

Being Gagged:

Bestiality:

Biting:

Bondage (heavy):

Bondage (light):

Boot Worship:

Branding:

Breast bondage:

Breast Whipping:

Brown Showers/Scat (feces play):

Caning:

Catheterization:

Chauffeuring:

Choking:

Chosen Clothing for:

Chosen Food For:

Clothespins:

Cock Worship:

Collars (wearing): 

Crossdressing:

Corsets (wearing):

Cutting:

Daddy Play:

Dilation:

Double Penetration:

Electricity:

Enemas:

Examinations (physical):

Exhibitionism:

Face Slapping:

Fantasy Gang Rape:

Fantasy Rape:

Fisting:

Flogging (back):

Flogging (butt)

Following Orders:

Foot Worship:

Forced Dressing:

Forced Homosexuality:

Forced Masturbation:

Forced Nudity: 

Forced Servitude:

Full Head Hoods:

Genital Sex:

Given Away:

Golden Showers (piss play):

Hair Pulling:

Hairbrushes:

Hand Jobs:

Handcuffs (metal):

Harnessing:

Head (getting):

Head (giving):

High Heel Worship:

Homage With Tongue:

Hot Waxing:

Housework:

Human Pony:

Human Puppy:

Humiliation In Private:

Humiliation In Public:

Ice Cubes:

Including Others:

Infantilism:

Injections:

Interrogations:

Intricate Rope Bondage:

Kidnapping:

Kneeling:

Leather Restraints:

Lecturing:

Licking:

Massage(getting):

Massage(giving):

Medical Scenes:

Mommy Play:

Mouth Bits:

Mummification(saran wrap etc):

Nipple torment:(clamps etc.) 

Oral/Anal Play:

Orgasm Control:

Orgasm Denial:

Over-the-Knee Spanking:

Paddle

Phone Sex:

Piercing (perm):

Piercing (temp):

Pussy Whipping:

Pussy Worship:

Religious Scenes:

Riding Crops:

Scratching:

Sensory Deprivation:

Serving as Ashtray:

Serving as Furniture:

Serving as Maid:

Serving as Pony:

Serving Orally:

Serving:

Sex in Scene:

Sexual Deprivation:

Shaving:

Single Tail (light/sensual):

Single Tail (moderate/heavy)

Spanking:

Speculums (vaginal):

Spreader Bars:

Stocks:

Straight Jacket:

Strap-on Dildos:

Supplying Victims:

Suspension (inverted):

Suspension:

Swapping:

Swinging:

Tape Gags:

Tattooing:

Teasing:

Tickling:

Triple Penetration:

Uniforms:

Verbal Humiliation:

Videoed Scenes:

Voyeurism:

Whipping (cat o’ nine tails etc.):

Wrestling:

Water Sports:

Important Questions:

Physical Concerns - Do you have any medical conditions, chronic or

otherwise, that the Mistress should know about? (Epilepsy, weak shoulders, skin

Allergy to latex, etc.) Are you on any prescription medications? Etc.

Mental Concerns - Do you have any phobias or mental conditions that the

Mistress should know about? (Fear of heights, Claustrophobia, MPD, etc.)

Limits - Are there any specific scene-related things you will not do?

Fetishes - Are there any specific scene-related things that you really like?

Describe your Ideal Session in precise detail; What fantasies do you want fulfilled?

My preferred instrument of Torture or Discipline is:

Specific information for my session to be a success is...