Client specification form
Answer & tick the relevant categories.

If you do not fill in the boxes highlighted by an asterisk * the form will not send.

All information is treated in the strictest of confidence and is used to enhance my and your experience during a session.
Email address *
Name *
Your answer
Telephone number *
Your answer
Age *
Your answer
Build/Height/Weight *
Your answer
Sexual orientation *
Your answer
Medical conditions if any? *
Your answer
How did you find me? *
Your answer
What compelled you to get in touch with me? *
Your answer
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