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* 1. Your name

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* 2. Your email

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* 3. Your profession

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* 4. Nationality

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* 5. How old are you?

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* 6. Any medical conditions?

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* 7. What are your kinks/fantasies? How much experience do you have? The more detailed the better. Are you able to provide any references? This is your chance to impress me. Note: I do not offer oral or penetrative sex.

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* 8. List activities you do not wish to participate in? What are your limits? (None is not an option)

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* 9. Duration

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* 10. Preferred date and time of session (including two alternative dates and times)

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