CORPORAL AND SENSUAL SENSATIONS
THEPALMBEACHES
Appointments With Me Are For Fetish, BDSM, And Entertainment Purposes Only. Before Contacting Me, You Must Read MY Site In Its Entirety.
I Am Not A Prostitute. I Am A BDSM Professional Dominatrix, I Do Not Offer Personal Services (Sex Acts, Massage, Escorting, Helping Hand).
Questionairre/MENU: Answer The Questions THAT RELATE TO YOUR INTERESTS Mistress Alexia 
,,,,,,,,,,,,,,We Are So Busy Disguising Our Selves To Hide From Others, That We Get Lost In Disguise
APPLICATION FORM
(Please Copy and Paste into an E MAIL and return to Me, Promptly for Consideration)
My email address is mistressalexia5@aol.com/ IF E MAIL IS NOT IN BEST INTEREST YOU MAY CALL ME-( I DO NOT ACCEPT BLOCKED CALLS!
Date/Time/Duration you are requesting an audience with your Goddess___________________________________
Name and last initial______________________
Your Location___________________________________
Your Age______
Physical Description______________________________________________________________________________________________________________
Sexual Orientation__________________________
Medical Concerns/Physical Limitations______________________________________________________________________________________________________________
Phobias/Abuse Issues__________________________________________
Eyeglasses/Contacts?_______________
Can you be marked? If so, for how long?_______________________
How often do you wish to visit with Me, Weekly? Bi-Weekly? Monthly? _________________________________
Below Are Wardrobe Fashions I Will Be Adorned In..Which Attire Is A Turn On To You In A Session? Latex dresses/skirts
Patent Leather
PVC/Vinyl pants/dresses/skirts
Business attire/suits
English riding apparel/boots
Corsets
Cat suits
Hosiery (please choose all that apply and delete the rest)
Fishnet
Sheer black
Nude pantyhose
Black Knee-high
Bare legs/none
SHOES Thigh-high boots
Knee-high boots
High-heeled pumps (closed toe)
Peep-toe pumps or sandals (open toe)
Platform heels
GLOVES Satin (opera length)
Bare arms/none
Lace (wrist length) MY DEMEANOR DURING SESSION ....................................................................................................................................
Indifferent/Detached/Cold
Playful/Gentle/Fun
Sadistic/Aggressive
Imperious/Condescending/Critical
Spoiled/Never satisfied
WHAT BEST DESCRIBES YOUR RESSON FOR SEEING A ME DOMINATRIX .................................................................................................. Suffering to please your Goddess and amuse Her (with disregard to my desires)___________________
Exorcism of guilt_____________
Sensation/Endorphin___________
Other(please describe)_________________________
WHAT BEST DESCRIBES YOUR SCENARIO hat would best describe the scenario you are seeking? (please choose all that interest you)
Doctor / Patient
Schoolteacher/naughty boy
Interrogator/prisoner
Female pimp/man-whore
Riding Mistress/ponyboy
Blackmailer/financial slave
Humiliatrix/small penisman __________________________________________________________________________________________________________________-__ MY MY MENU: IS BELOW CHOOSE YOUR INTERESTS A La Carte' $50.Ea.
How long have you been involved in BDSM activities?
Do you have any other skills outside slavery that you can offer Me? How will you please your Goddess other than Her required tribute? __________________________________________
Do you have references from other Dominatrices (local, national or international)?__________________
Are you involved in any fetish/BDSM organizations? If so, which?_______________________________________________________
ITEMS ON MENU: I AM INTERESTED IN: (please choose all that apply)
1.Bondage: Leather, Rope, Chain,, Bondage tape, Saran wrap
Method: Light,Heavy, Inescapable, Extended, Mummification,Kidnapping,
2.Corporal Punishment: Flogging, Whipping, Strapping, Spanking, Caning, Hairbrush, Whip,St.Andrews Cross,Torture Ladder,Suspension,
3.Genital Torture: Whipping, Chastity, Kicking/Kneeing, Trampling, Stretching/Weights, Light touch cigarette, Hot wax, Tight bondage/tying, Manual squeezing/vise, Slapping, Ice,Needles,Sounds,Cock Whip, Corkscrew,C-Clamp
4. Foot Worship: Stocking/Pantyhose, Shoe/Boot/Heel, Bare Feet
Method: Boot licker, Toe Kisse/Suckerr, Masseuse, Footstool, Rug
5.Humiliation
Method: (please describe)____________________________________ (public/private)
6.Service Training.(must be available with 2-8 hours notice): Chambermaid, Chauffeur, Foot slave, Dungeon Slut (forced-bi fantasy)
7.Smoking Fetish (Yes or No): Human Ashtray Services
8.Puppy Training (yes or no): Caging, Dog food eating, leash training, Costuming, Verbal Command training
9.Pony Training (yes or no): Show pony, Cart pony, Riding pony
10.Financial Slave/Paypig/Blackmail (yes or no)___________
11.Cuckolding/Key-Holding CB-3000/6000/The Curve Long or short duration training
12. Anal Play;(Training) Butt Plugs, Strap-on Fisting, PROSTATE MILKING, Stretching, Electro. I love I Love To Entertain MyGuests. Are You Comfortable Being In A Session †Scene †Show†Party, With Others:
Dominant Females
Dominant males/Bi Males
Submissive Females
Submissive males
Photographers/Video graphers
Confidentiality & Discretion Is of Supreme Importance To Your Goddess, I Use Masks (upon request) To Hide Your Identity.
All information held in the strictest of confidence . Now you have a friend in the Dominatrix Business!
Sign X _____________________________________________________________
EMail MistressAlexia5@aol.com/ PHONE 561.312.1767 E-Fax 1.561.828.0114