Thank you for your interest in booking an appointment with me. Screening is necessary before scheduling your first appointment. Only serious and respectful inquiries will be accepted. All of your personal information will be kept completely confidential and will be deleted after the screening is completed. Please be honest and complete when filling out this form. Understand that this is an important part of our initial contact, and will allow us to move forward expeditiously.
Please be aware that I will ask for you to show valid ID at the beginning of our first appointment together. This is a one-time occurrence to verify age and identity. I am a lady and I expect you to be a gentleman. I don’t mind a dirty joke or two, but any rude, vulgar, or sexual comments will be ignored and you will be put on my black list.