Instructions

The form below should only be completed by patrons whom have NEVER seen Ms. Adah before and who are serious about scheduling a session with the understanding that same-day appointments are NOT available and the booking process DOES require submitting a deposit. Be sure to click the “Submit” button when finished!

I. Contact Info

First name *

Provide real or invented “first name.”

Where did you FIRST find information on Ms. Adah? *

• Eros
• Tryst
• Slixa
• Other advertisement site that features lots of providers
• Twitter
• Instagram
• Found her personal website through web search
• Don’t Remember

Communication preference *

• Texting
• Email
• Texting and/or Email

Phone # for texting

Email

Email

Confirm Email

II. Personal Profile

Gender *

• Female
• Male
• Female & male couple
• Identify differently than above

Age: *

Please provide your ACCURATE age.

III. Scheduling Info

Which type of session do you hope to book? *

• Local (NJ, Philadelphia region, DE)
• MD (Baltimore, Hunt Valley, White Marsh or similar))
• Tour (anywhere outside locations noted above)

Who will provide the location for meeting? *

• Incall: Ms. Adah provides hotel or other rental
• Outcall: Client provides hotel
• Outcall: Client provides personal residence, business, or vacation rental
• Public-only, social meeting with no incall/outcall

What is the city/town and state where you hope to see Ms. Adah? Once you provide this info, she will agree to your preferred location or she will make alternate suggestions within a reasonable driving distance. *

In the space below, identify specific dates and times you are available to meet (always good to give more than 1 option) OR identify days of the week and timeframes that are typically good for you. Note that Ms. Adah conducts most "Local" (NJ, Philly, DE, MD) sessions Mon-Thurs 12pm-7pm, Fri-Sat 3-5pm, and Sundays 3-7pm. Tour sessions are typically 11am-8pm Sun-Thurs (no weekends). *

Session length you potentially desire? Please make sure you have reviewed Ms. Adah's website for "minimum investment" possibilities. *

• 1hr – 1.5hrs
• 1.5-2hrs
• 3hrs
• Over 3hrs
• Not sure

Session type *

• Individual BDSM, fetish, fantasy, kink session
• Couples BDSM, fetish, fantasy, kink session
• Social-only meeting with no session

Provider(s) requested for session *

• Ms. Adah alone
• Ms. Adah plus female colleague

IV. Session Investment

A deductible deposit is required to book. No exceptions. The ONLY available options include Venmo, CashApp, Wishtender, Amazon emailed gift card, and store-bought Visa gift card. Are you prepared to utilize one of these options if Ms. Adah agrees you should meet? *

• Yes: I understand a deposit is required to book and I am comfortable using at least one of the options given.
• Not Sure: I am anxious about submitting a deposit because I had a “bad experience” in the past.
• Not Sure: I am anxious about submitting a deposit and committing to a session because I have never done this before..

If you are "unsure" about submitting a deposit, you must explain why below, including describing any "bad experiences" you had in the past. You must also indicate what could potentially make you feel more confident/comfortable following through with this requirement. You CANNOT say "no deposit" or "cash upon arrival" or similar as these are NOT options.

Some clients desire a phone call PRIOR to submitting a deposit to help them feel more comfortable. Booking consultation calls are available for $100 for 30min and payable by Venmo, CashApp, Wishtender, or Amazon emailed gift card. Are you interested in this option?

• Yes: I desire a call prior to booking
• No: I am prepared to book without a call
• Not sure whether this would be helpful; will let Ms. Adah decide

V. Past Experience

How much experience do you have with hiring professionals for BDSM, fetish, fantasy, and/or kink? *

• Beginner with NO experience
• Beginner with limited experience (1-4 experiences)
• Intermediate experience (5-10 experiences)
• Advanced experience (more than 10 experiences)

Please describe your past experience and anything you enjoyed versus did not enjoy. If you have none, write NA (not applicable). *

How much experience do you have with incorporating BDSM, fetish, fantasy, and/or kink into your personal relationships? *

• No experience
• Limited experience
• Some experience
• Extensive experience

VI. Session Interests & Requests

For your session, whom do you wish for Ms. Adah to be? *

• Dominatrix
• Dominant female character
• Her everyday, dominant self (dressed casually; not embodying a particular role)

What is your session fantasy? Please include list of activities that interest you plus storylines and/or role plays (if relevant). If you are a beginner, and unsure of what you want, it is ok to write "Beginner: let Ms. Adah decide." *

VII. Questions and Additional Info

If you have any questions, concerns, or additional information you wish to provide, present it below.

VIII. Confirmation of Understanding & Agreement

I understand Ms. Adah will NOT be nude during the session, and she will NOT engage in activities typically associated with escorts. *

• I understand

I understand that submitting this Form does NOT guarantee me a session with Ms. Adah. Instead, she will review it and communicate with me within 24hrs. If I fail to reply within 24hrs, my opportunity to book may be permanently revoked. *

• I understand.

I hereby affirm that I am NOT timewaster and I have serious intentions of booking provided Ms. Adah and I can align our schedules and we agree we are a good match. If this occurs, I understand I will be required to submit a deposit to schedule my session. *

• I understand

Submit