(Please copy and paste into an email and return to Me, Mistress Jenna promptly for consideration)
My email address is:

Date/Time/Duration you are requesting an audience with your Mistress (List All)______________________

Name and last initial______________________



Physical Description_____________________________________________________________ 

Marital Status__________

Financial Status and Employment Industry________________________________

Sexual Orientation__________________________

Medical Concerns/Physical Limitations_________________________________________________

Phobias/Abuse Issues__________________________________________


Can you be marked? If so, for how long?_______________________

How often do you wish to visit with Me, (Mistress Jenna) Weekly? Bi-Weekly? Monthly? Bi-annually?_________________________________

Which attire do you prefer to see Me,(Mistress Jenna) adorned in? (Please choose all that apply and delete the rest).
Latex dresses/skirts
Business attire/suits
Corsets/waist cinches
Lace Lingerie

Hosiery (please choose all that apply and delete the rest)
Cuban heel/seamed
Sheer black
Nude pantyhose

Bare legs/none

Shoes (please choose all that apply and delete the rest)
Thigh-high boots

Knee High Boots
High-heeled pumps (closed toe)
Peep-toe pumps or sandals (open toe)
Platform heels
Goth Boots

Gloves (please choose all that apply and delete the rest)
Latex (opera length)
Leather (wrist length)

Leather & Cashmere Knit (elbow length)
Bare arms/none

In regard to My demeanor during the session, (i the submissive, would prefer Mistress to act:) (please choose all that apply and delete the rest)
Spoiled/Never satisfied

What best describes your reason for visiting Me? (please choose all that apply and delete the rest)
Suffering to please your Goddess and amuse Her (with disregard to my desires)___________________
Exorcism of guilt_____________

Trying new experiences                   
Other(please describe)_________________________

What would best describe the scenario you are seeking? (please choose all that interest you and delete the rest)
Schoolteacher/naughty boy
Female pimp/man-whore
Riding Mistress/ponyboy
Blackmailer/financial slave
Humiliatrix/small penis man
Mommy/Little boy

Strict, but nurturing
Other (please describe)_______________________________________________________

How long/often 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 Mistress other than Her required tribute? (For example: Ability to make dungeon furniture/toys, ability/willingness to buy gifts, photographer/videographer, additional Tribute, chauffeur, chiropracter/massage therapist) __________________________________________

Do you have references from other Dominants (local, national or international)?

If yes, link to their website/social media account/email: __________________

Are you involved in any fetish/BDSM organizations? If so, which?_______________________________________________________

ACTIVITIES I AM INTERESTED IN: (please choose all that apply and delete the rest)
1.Bondage: Leather, Rope, Bondage tape, Saran wrap, Chains/Cuffs
Method: Light, Inescapable, Extended, Mummification

2.Corporal Punishment: Flogging, Whipping, Strapping, Spanking, Caning, Birching, Hairbrush

3.Genital Torture: Whipping, Chastity, Kicking/Kneeing, Trampling, Stretching/Weights, Chastity, Light touch cigarette, Hot wax &/or ice, tight bondage/tying, manual squeezing/vise, slapping, piercing 


4. Nipple Torture: Squeezing, piercing, hot wax &/or ice, clamps, cupping, tight bondage/tying &or pulling

5. Foot Worship: Stocking/Pantyhose, Shoe/Boot/Heel, Bare Feet, Clean or Dirty Feet
Method: Boot Licker, Toe Kisser, Masseuse, Footstool, Rug, Foot Licker/Toe Sucker

6. Humiliation Method: (please describe)____________________________________

7. Domestic Service Training (must be available with 2-8 hours notice. If yes, choose): Chambermaid, Chauffeur, Foot slave, Dungeon Slut (forced-bi fantasy)

8. Shaving as form of humiliation or to please Mistress (yes or no, if yes choose): Genital area, Body_____________

9. Smoking Fetish (Mistress smokes) Yes or No: Human Ashtray Service______________

10. Puppy Training (yes or no, if yes choose): Caging, dog food eating, leash training, costuming, verbal command training

11. Pony Training (yes or no, if yes choose): Show pony, cart pony, riding pony)

12. Financial servitude/Paypig/Blackmail - your money looks better on ME (yes or no)___________

13. Cuckolding/Key-Holding CB-3000/6000/The Curve - Long or short duration training


14. Sissy Play/Training: Crossdressing, Make-up, Panty Play, Feminine Attitude/Manner Tutorial (Forced or Playful)                                          

15. Golden Showers: Consumption or Topical (Forced or Playful)                                    

16. Role Play (Describe scenario):                                                                            

17. Forced Bi- Fantasy (describe):                                                                             


I love to entertain My guests at their expense. Are you comfortable being in a session/scene/show/party, with others for My benefit? If yes, choose:
Dominant Females
Dominant males
Submissive females
Submissive males

(Confidentiality is of supreme importance to your Mistress. I may use Masks to hide your identity).

All information is held in the strictest of confidence by Mistress Jenna - the name more and more Dungeon-going fetishists and submissives trust!

© 2021 by Mistress Jenna Jones.


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