Detailed Intake Form

This is a space for the willing. Life is fleeting. Embrace your kinks.
A new era of Fem Dom is here.

This checklist is for those dedicated to deepening into their journey with Lotus Eros. Take your time with your answers — use Google if there are any acts you don't understand.

⏱ Estimated time to complete: 20–30 minutes

01 — Personal Details

Who are you?

All information is kept strictly confidential.

Name *

This field is required

Sub name / preferred name *

This field is required

Age *

This field is required

Phone *

This field is required

Email *

Please enter a valid email address

02 — Experience & Intentions

Your journey so far

Have you been to a Pro Domme before? *

This field is required

What's your experience level with BDSM? *

This field is required

What are you curious about / would like to explore? *

This field is required

Wants and perceived needs *

This field is required

What is your intention for the scene? *

This field is required

What do you want to experience from your session? *

This field is required

03 — Fantasy & Identity

Your desires

Your fantasy or fetish most fantasised about if not above *

This field is required

Do you enjoy verbal humiliation or prefer none? *

This field is required

04 — Health & Safety

Your wellbeing matters

All information is strictly confidential and used only to ensure your safety.

Health concerns / medical issues *

This field is required

Current sexual health and STIs + last test date *

This field is required

Known trauma or triggers relevant to the scene *

This field is required

Requested aftercare *

This field is required

05 — Session Preferences & Consents

The details

What do you wish to be called during the scene? *

This field is required

Preferred vibe of your Domme *

Dominating / authoritarian / controlling Dark mother / firm but caring Queen energy / royal / worthy of worship Playful / relaxed Whichever Lotus Eros feels most authentic on the day

Please select an option

Pain level 1–10 *

1 — Hate pain10 — Love pain

5

Marks limits *

No limits — bruises / abrasions are fine Marks okay — just not in visible places Light marks okay that fade after a couple of days No marks at all Other

Please select an option

Photo ID / LinkedIn / reference sent to Lotus Eros? *

The session will not be accepted without this. You may send a reference from another sex worker if there's enough time for Lotus Eros to speak with them beforehand.

Yes, I have sent this I need more information

Please select an option

I understand I will need to send a 50% deposit to secure the booking *

Yes Lotus Eros No, I do not wish to book

Please select an option

Photo consent *

Only Lotus Eros's favourite subs get the honour of featuring on Her X account. Just because you consent doesn't mean you will be published. Images won't be sold — only used on social media. If you're interested in filming x-rated content at a later date, let Lotus Eros know 🪷

Yes 100% — face included, flaunt me 😈 Yes but no face or distinguishing features Yes but I want to approve the images first I am open to being a filming sub in the future No photos at all 🖤

Please select an option

Follow-up consent *

This is required to proceed

06 — Kink Checklist

Your checklist

Take your time with your answers — use Google if there are any acts you don't understand.

Please note: Everything on this list Lotus Eros enjoys and is comfortable undertaking.

Lotus Eros does offer more intimate extras that aren't on the above list at her discretion, charged on top of the total booking fee. She can choose to offer these or not. These include: oral (on Lotus Eros), rimming (on Lotus Eros), and two way touch (on Lotus Eros).

Sex Related

	Hard limit	Soft limit	Curious	I enjoy

Bondage

	Hard limit	Soft limit	Curious	I enjoy

S&M

	Hard limit	Soft limit	Curious	I enjoy

Power Play

	Hard limit	Soft limit	Curious	I enjoy

Role Play

	Hard limit	Soft limit	Curious	I enjoy

Bondage Toys

	Hard limit	Soft limit	Curious	I enjoy

S&M Toys

	Hard limit	Soft limit	Curious	I enjoy

Fetish

	Hard limit	Soft limit	Curious	I enjoy

Is there anything not listed above that you want to try or are into?

07 — Additional & Disclaimer

Almost there

Is there anything you wish to clarify?

By submitting this form you are agreeing to the possibility of the above kinks being tried or introduced into the session. Anything noted as a hard limit will not be performed and any soft limit will be fully negotiated beforehand. I understand that Lotus Eros will do her best not to leave any marks as per your instructions. I understand that at times accidental marks may occur. I have researched and fully understand any risks associated with the above kinks and I understand that Lotus Eros will take all precautions necessary to avoid all risk. Lotus Eros is a dominatrix — NOT a service top. She will consider your suggestions but how the scene will flow will ultimately be up to her on the day.

You must agree to the disclaimer to submit