SkinMap client information/consent
  • Only submit if you have booked an appointment
  • Confidential and not shared or used for any purpose other than your session (s) and aggregated business analysis
  • Under GDPR I can only retain personally identifiable info as long as it remains relevant
  • As it is consent for intimate touch, I need to comply with legal requirements regarding retention  
  • Use same email address as used for booking (double-check you have spelt it correctly here)
  • If you don't want to submit this online, print and complete 2 copies and bring along
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Email *
Can you confirm you are fluent enough in English to be able to understand this form and to negotiate your boundaries effectively during the session? *
Required
Can you confirm that you have already booked your service? *
Required
Date of session? *
MM
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YYYY
Date of birth? *
MM
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DD
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YYYY
You understand that the massage and coaching services don't include paid sex with me (There is an escorting service) *
Address for visit (if not at mine) 
What's your role? *
If client, confirm second person you involve has used Second Person Booking for themselves
Motivations for booking? *
Required
What vibe do you desire? (we're all different) *
Required
What will your dynamic be? *
Required
About you(0-6) *
0
1
2
3
4
5
6
Sexuality(0 gay, 3 bi, 6 hetro))
Sex-positive
Body-confident
Confident seen naked
Verbal communicator
Body communicator
Expressive when aroused (writhing/sounds)
Obvious orgasms
Ability to orgasm
Post-orgasm sensitivity
Enjoy direct glans touch (penis/clitoris)
Vagina (inside) massage
Vulva (outside) massage
Cervix stimulation
Nipple play
Breast play
Ball play
Anal surfacing
Anal penetration
Prostate massage
Pain arousing
Being edged
Erection control
Ejaculation control
Being dominated
Body-weight on you
Light, sensual touch
Firm, assertive touch
After-care (e.g. cuddles and strokes)
Being admired
Dirty-talk
Ear caress
Neck caress
Face caress
Hand play
Foot play
Elbow caress
Back of knee caress
Ankle caress
Arm-pit caress
Inner-thigh caress
Firm hair grabs
Head massage
Perineum touch
Vagina-entrance touch
Vulva-lip play
Scrotum play
Back scratching
Lower belly/top of thigh caress
Anything not listed above?
Do you have any medical conditions relevant to intimate massage? *
Required
Are there relevant mobility, mental health or neurodivergence details I need to know about? *
Required
What is your gender? *
Do you have any skin allergies? *
Required
How did you find me? *
Search phrase used, online platform, group name, person who recommended, circumstances etc? *
Ensure you read about what usually happens
 *
How are you feeling about your appointment? (See others' experiences) *
Required
What kind of consultation do you need? *
You confirm I can touch you anywhere (list exceptions in "Other")
 *
Required
You do not have unresolved, diagnosed sexual trauma *
Required
You are completing this form on your own behalf and not for someone else and are aged 18+ *
Required
Optional: use contact form to upload a readable image of photo ID now.
Do you agree to pay balance outstanding, in cash, when you arrive before your session? *
Required
You waive your legal rights to make a civil claim against me as insurance isn't readily available for intimate touch work *
Required
You have read and agree to the service and booking terms *
Required
Finally, please confirm you have paid a £15 deposit via PayPal (refundable (minus my PayPal fee), if you cancel up to 4 hours prior🙂) *
Required
For printed versions of this form only, please write name, date and signature below to validate both copies. I keep one, and you the other.
A copy of your responses will be emailed to the address you provided.
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