Name you desire to be called
Real Name
Age
E-mail address
State where you currently reside
When did you first realize your submissive nature?
What is the size of your manhood? 4 inches or less 5 inches 6 inches 7 inches 8 inches 9 inches or above
With 10 being the highest and 1 the lowest, rate your pain tolerance?
The following are the most requested activities that I enjoy doing to my submissives. Rate these from 1 to 10 with 10 meaning you enjoy this activity the most. If you are interested in an activity that I do not have listed here, explain it to me in the last question.
Nipple Torture
Hot Candle Wax
Locked in a Cage
Here is a list of duties you might be ask to perform. Please answer these questions honestly.
If you have any medical problems, please list them here.
What type of employment do you want and can you easily transfer your work? Are you willing to financially contribute to the household?
Tell me about your personality anything else you think I should know that could impact our household..
Tell me why I should add you to my household.
What kind of relationships have you had in the past, family, friends, and children if applicable.
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