Application Form

First Name / preferred name (if applicable) *

Email (please type carefully) *

Phone (if possible)

Do you prefer phone, text or email communication?

City / State *

Age

Your Height (ex 5'9") *

Weight *

Gender Identity

Which of these do you identify with the most?

Health & emotional issues:

Describe your BDSM or related experience thus far (if any).

References?

Do you own any of your own gear that you wish to bring with you or have used on you?

What is the most important feeling or state of being you want to experience either during or as a result of our encounter? Choose from the themes below or write your own. Please be as specific as possible.

What if any marks are acceptable to you and how long?

Other or more specific feeling. desire, goal?

What activities do you know you LOVE in a scene that support or inspire the above feelings?

What are your hard and soft limits (if known)?

Please describe as clearly as possible, what you envision for a first scene with me. I want at least a paragraph or two in this field so I have a clear understanding of your wishes and desires.

What style or energy do you want the scene to have?

Something else?

Is there anything else you think that I need to know about you and what you desire to experience with me?

Desired Date and Time of Session *

How long a session do you wish to book? *

One hour - $300
90 mins - $450
Two hours - $575
Three hours - $850
Four hours - $1100

Add - ons (please note the prices listed are in addition to a 1 OR 2 hour session.)

Mock Medical Exam - $50 to $75 (depending on supplies you may need)
Heavy Corporal or OTK focused play - $50
Lightly Invasive Prostate Play - $50
Intense Role Play or psychodrama - $75
Pegging / oral strap-on play - $75
Couples session (you & your partner) - $100
Intense Tease & Denial - $150

Where did you hear of me? *

Where:

Acknowledgements *

I understand that Mz Suzanne does NOT offer sexual services, does not guarantee orgasm, and will remain fully clothed at all times.
I agree that Mz Suzanne will not be held responsible for any injury resulted from our risk-aware and consensual play session.
I acknowledge that a 1/3 deposit will be required and will send that along once directed to do so via one of the payment methods mentioned on the Book your Session page.
I agree to report any covid symptoms (cough, fever or chills, shortness of breath or difficulty breathing, fatigue, loss of taste or smell etc) to me prior to our meeting.

Mistress Suzanne SxySadist

Connecticut Mistress & Premier Domina, Sissy Trainer & Sensual Sadist

Application Form