Screening

* Required Field

Screening

Frist Name: *
Last Name: *
Age: *
City & Sate of Residence: *
Phone Number:
Email: *
Preferred Method of Contact: *
Phone Call
Text Message
Email
When would you like to Meet? Date & Time: *
Duration: *
Your place or mine?
Incall
Outcall
Outcall Adress: (if applicable):
Reference #1: Name and contact info of providers you've seen before, and any forum usernames or handles: *
Reference #2: Name and contact info of providers you've seen before, and any forum usernames or handles: *
P411 ID (If Applicable):
How Did You Find Me?: *
Special Request:

If we haven’t met please complete my screening form below so we can plan out a meeting. The more thorough you are are in filling this out, the sooner we will be able to get acquainted

 

if you decide to communicate via mobile I will ask that you have 

-A PRIVATE DELIGHTS USERNAME WITH 2+ VERIFIED REVIEWS DO NOT FORGET TO CLICK THE “GET SCREENED” BUTTON and send photo or FaceTime/Google Duo to verify

 

IF YOU DON’T HAVE AN PRIVATEDELIGHTS USERNAME WITH 2+ VERIFIED REVIEWS:

-DEPOSIT/PrePay $100

-SEND ID COVERING ALL INFO BUT YOUR NAME

-or 2 provider references that know you well along with a photo

 

 

If you prefer to communicate email only, I will ask for $100 deposit or 2 provider references that know you well. Please let your provider reference know that I will be contacting them in advance.

 

Unfortunately for anyone who prefers to contact me with an APP MOBILE NUMBER (a simple google search can tell me if you are using a texting app). If you provide a fake number than I am just not for you. Unless you can redeem yourself by giving a $100 Deposit for our first date or 2 provider references that know you well.

 

When filling out the screening form or contacting me text or email please note that I do give priority to longer engagements. If you are looking to have the best experience possible with me, I strongly suggest booking a dinner date, full day encounter, or my absolute favorite - an extended overnight. Only then will you be able to unlock me at my best and most natural state of being.